MECHANICAL EXTRACTION UF THE FiETUS. 



'.19 



when tightened, bringing them closer together, and so concentrating 

 the traction. A longer crotchet-forceps (Fig. 185), with a wider curve 

 at the points, is not infrequently used with success in breech presenta- 

 tions with the hind-limbs retained; the points are inserted towards 

 each flank, penetrating as far as the shaft of the ilium. 



Giinther has spoken highly in favour of a long, blunt crotchet-forceps 



r;\c|E 



Fig. iSti. 

 GC.nthkr's Long Crotchkt-Fobcbps. 



Fig. 187. 

 Jointed Cbotchkt-Forckps. 



to answer the same purpose, and which has what is considered an 

 advantage — a series of notches on each side towards the traction-rope, 

 on which runs a clip that binds them together, and prevents their flying 

 outwards while the assistants are pulling (Fig. 18G). The two crotchets 

 A B, C D are brought together at A C by the cord E, which passes 



Fig. 188. 

 Nelson's Blunt Crotchkt-Forckps. 



Fig. 189. 

 Nklson's Skbratki) Crotchkt-Fgrckpb. 



through their eyelets ; d is the clip on the ratchet c c ; f J\ the curve of 

 the crotchets ; and g g, their blunt points. 



To render their hold more secure, these crotchet-forceps are some- 

 times jointed; and in this form they are preferred by some practitioners. 

 Fig. 187 represents a very useful model, the points being sharp, and 

 one point hes in a slight notch on the opposite one, to render their 

 introduction into the uterus more safe, and also to prevent accidents. 



