Identifier: americantextbook00norr (find matches)
Title: An American text-book of obstetrics. For practitioners and students
Year: 1897 (1890s)
Authors: Norris, Richard C. (Richard Cooper), 1863-1937 Dickinson, Robert Latou, 1861-
Subjects: Obstetrics Obstetrics
Publisher: Philadelphia, W. B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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Fig. 187.—General palpation of abdomen for locating dorsal plane and small parts of fetus (from a photograph). The childs back is identified by the length and breadth of the resistingplane which is offered to the examining touch, and by the absence of a sulcusbetween it and the fetal head. The side of the child presents a narrower CONDUCT OF NORMAL LABOR. Plate 23.
Text Appearing After Image:
Examination Before Labor: Examination of lower fetal pole (from a photograph). THE CONDUCT OF NORMAL LABOR. 351 plane than the back, and a distinct sulcus separates it from the head. Theexamination of the dorsum is facilitated by applying one hand over the upperfetal pole and pressing downward in the axis of the uterus. The back of thechild is thus rendered more convex, and is thrust outward toward the abdomi-nal wall within easier reach of the examining hand. The small parts are usually felt as nodules which glide about under thetouch : they are best identified by circular, rubbing motions; sometimes a fetalmember may be mapped out through its whole extent. Except in the case oftwins, where there are usually arms and legs in various directions, finding thesmall parts in one section of the abdomen confirms the location of the dorsalplane in the opposite region. Thus, small parts on the right indicate a leftdorsal position, and conversely. Small parts few and hard to find point to an K

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