Pictorial midwifery : an atlas of midwifery for pupil midwives / by Sir Comyns Berkeley.

  • Berkeley, Comyns, Sir, 1865-1946.
Date:
1941
Catalogue details

Licence: In copyright

Credit: Pictorial midwifery : an atlas of midwifery for pupil midwives / by Sir Comyns Berkeley. Source: Wellcome Collection.

    61/186 (page 43)
    FIG. 70.—LATERAL OBLIQUITY OF THE UTERUS AT TERM. At term the uterus lies somewhat obliquely in the abdominal cavity, leaning towards the right side of the patient. On occasions this obliquity may be very marked, when it may be a factor in the causation of face presentation. Thus if the foetus lies with its back to the right, the uterine force, acting from right to left, will tend to push the occipito-spinal joint in the direction of the face; thus extension of the head may result. In cases of occipito-posterior position in which the head of the child is not well flexed, by increasing the lateral obliquity of the uterus flexion of the head will be encouraged. Thus, if the position of the head is a 3rd vertex, the patient should be placed on her left side, and if a 4th vertex on her right side.