Image from page 500 of “Obstetrics : the science and the art” (1856)

Image from page 500 of “Obstetrics : the science and the art” (1856)
Hand Wrist Pain
Identifier: obstartc00meig
Title: Obstetrics : the science and the art
Year: 1856 (1850s)
Authors: Meigs, Charles D. (Charles Delucena), 1792-1869
Subjects: Obstetrics Midwifery
Publisher: Philadelphia : Blanchard and Lea
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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Text Appearing Before Image:
e maybe, and when it has got free from the pres-sure of the surfaces of contact, the rolleror ball at the end may be brought out atthe ostium vaginae, and the remaining por-tion passed upwards, so as to get the filletarranged to allow the two free ends to betied. • The drawing, Fig. 97, shows the appear-ance of the fillet, when rightly placed, and the mode of operatingwith it. The efficacy of its action would be greatly enhanced by placing itupon the groin that is farthest from the pubal arch—but that is afeat of dexterity that can rarely be performed. In drawing downwards, one should act only during a pain, or coin-cidently with a tenesmic effort of the patient, and it should never beforgotten, that the neck of the thigh bone is a very frangible thing inthe unborn fcetua This caution is necessary to prevent a fracture ordislocation of the hip-joint. The mere remembrance that such anaccident might happen, would prevent any prudent person from exert-ing undue force with the fillet.

Text Appearing After Image:
504 PRETERNATURAL LABOR. Notwithstanding the reasonable dread of doing mischief by violentand untimely tractions, it is true that great assistance may, by thissimple implement, be given to the woman in a breecli labor. The fillet is also applied, on some occasions, to the wrist in prolap-sion of the hand, in order, by means of it, to keep the hand down atthe side, when we turn to deliver in shoulder cases. I have neverfound it necessary to take any such precaution; as I have alwaysthought that I could bring down the arm, in case it should be liftedalongside of the head, and I have not chosen to embarrass myself withthe string. The fillet is also by some writers recommended as a means of secur-ing one foot that has been brought out at the vulva, in turning, whilethe hand is passed upwards again to seek for the other foot. I do notthink it necessary. Indeed, when I have got one foot down, I carenot much to bring down the other; for, if it be left in the womb, wehave rather an advantage

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