Identifier: essentialsofobst00jewe (find matches)
Title: Essentials of obstetrics
Year: 1897 (1890s)
Authors: Jewett, Charles, 1839-1910 Jewett, Harold Flagg, 1869- joint author
Subjects: Obstetrics
Publisher: New York, Philadelphia, Lea Brothers & Co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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at on themedian section of the abdomen at the umbilicus,and press backward toward the spinal column.The child will be displaced to the side toward PHYSIOLOGY OF LABOR. 125 which its back lies and the liquor amnii to theother. Palpating with the other hand, the solidis readily distinguished from the fluid tumor. (Fig.36.)Small parts are felt as nodules which glide freely aboutunder the touch; sometimes their outlines may be fully Fig. 37. HI ■ mmS ■ If i \ f ■ F ml .^FBbmw JA f / / PS i Examining lower foetal pole. traced. Circular rubbing movements with the finger-tipshelp to identify them. They are felt on the side opposite 126 ESSENTIALS OF OBSTETRICS. the foetal dorsum. In full anterior positions of the childsback the small parts may not be accessible to palpation.Small parts in the median section of the abdomen indicatea dorso-posterior position of the foetus. 3. Examining the lower foetal pole. With both handsover the lower uterine segment just above Pouparts liga- Fig. 38.
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Grasping foetal head with hand over abdomen for locating cephalic prominence. ments, finger-tips toward the mothers feet, and palmarsurfaces nearly facing each other, the lower foetal pole is PHYSIOLOGY OF LABOR. 127 caught between the hands. (Fig. 37.) In difficult casesthe following manipulation helps to find the head: bringingthe hands gradually nearer and nearer together, while placedas above described, move them as if to toss the head sharplyfrom one hand to the other. The head feels hard and globular ; there is a lateral sulcusbetween it and the trunk; in primipara (not in multipara)it is in the pelvic excavation before labor. The breech alone is smaller, with all its component ele-ments it is larger, than the head; it lacks the hard andglobular feel of the head, presents no sulcus and it isnever in the excavation before labor. If small parts can befelt just beyond either foetal pole that pole is the breech. The head in either iliac fossa indicates a cross-birth. Fig.

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