[90] Traité des Accouchemens, 1770. § 691. “Pour moi, j’ai toujours au contraire trouvé un grand advantage à insinuer la main jusqu’aux pieds de l’enfant, et à n’ouvrir les membranes qu’en saisissant ces derniers.” (La Chapelle p. 90.)
[91] “We must by no means burst the bag of liquor amnii until the hand has passed up between the membranes and the uterus. Every movement is easy whilst there is fluid in the uterus: hence, therefore, we must not withdraw the hand until we have fairly gained the feet and brought them down; for otherwise the waters escape, the uterus contracts, and the rest of the operation is more difficult.” (Boer, vol. iii. p. 17. note.)
[92] “Je suis loin de prétendre, avec Puzos, que la traction sur un seul pied ait les avantages récis.” (La Chapelle, p. 93.)
[93] “Dans tous ces accouchemens je laisse le plus souvent agir la nature, et je le fais avec bien plus de sécurité quand je sçais que la femme a accouché précédemment et fort aisément d’enfans volumineux, quand je reconnois son bassin pour avoir toutes les dimensions requises, quand les contractions de la matrice sont bonnes.” &c. (Traité des Accouchemens, § 674.)
[94] Ueber die künstliche Wendung auf den Steiss, in the Heidelberg Klin. Annalen, vol. ii. part i. p. 142.
[95] Traité des Hernies, contenant une ample Déclaration, &c., par Pierre Franco de Turriers en Provence, demeurant à presént à Orange: à Lyon, 1561.
[96] See Dystocia from Malposition of the Child. [The student who desires to investigate this subject farther, may consult Dr. Churchill’s Researches on Operative Midwifery. Essay ii. on Version.—Am. Ed.]
[97] [Prof. Gibson has operated twice on the same patient, and both times successfully, for mother and children. See American Journal, for May 1838.—Ed.]
[98] [Dr. Churchill has collected the statistics of 409 cases of Cæsarean section, of which number, 228 mothers were saved; and 181 lost, or about 1 in 2¼: and out of 224 children, 160 were saved, and 64 lost—or about 1 in 3½.
Of the above cases, 40 occurred in the practice of British practitioners, of which, 11 mothers recovered, and 29 died; or nearly three fourths—and 37 cases, in which the result to the child is mentioned, 22 were saved, and 15 lost—or 1 in 2½.