A nurse's handbook of obstetrics, for use in training-schools . care of the nurse are seldom attended with any great difficulties,for the very fact of their precipitate character presupposes asmall child or a very large pelvis. The chief danger is extensionof the arms above the head (Fig. 69), and this can often beavoided by the maintenance of firm pressure on the abdomenthroughout the entire course of the labor. After the child is delivered the further management of thecase does not differ from that of vertex presentation. - Twins are not infrequently delivered precipitately on accountof the
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A nurse's handbook of obstetrics, for use in training-schools . care of the nurse are seldom attended with any great difficulties, for the very fact of their precipitate character presupposes asmall child or a very large pelvis. The chief danger is extensionof the arms above the head (Fig. 69), and this can often beavoided by the maintenance of firm pressure on the abdomenthroughout the entire course of the labor. After the child is delivered the further management of thecase does not differ from that of vertex presentation. - Twins are not infrequently delivered precipitately on accountof the small size of each infant, and unless they are locked insuch a way that neither can be expelled without artificial aid(Fig. 70), twin births seldom or never give any trouble to the PRECIPITATE LABOR. 175 medical attendant. As the babies are small, the first is deliveredwith very little difficulty, and the birth of the second is accom-plished with the utmost ease, because the passages are alreadydilated fully and there is nothing to interfere with its descent.. Fig. 69.—Arms extended in breech delivery. The most serious complication that can arisein the extraction of the after-coming head. None of the other abnormalities of position and presentationpossesses any special interest to the nurse, for, unless they areof such a precipitate character that delivery is accomplishedwithin a very short time, there will be ample opportunity tosecure the services of some physician, even if the regular medicalattendant cannot be reached. When the nurse finds, on her arrival, that the baby and pos-sibly the- placenta are born and lying in the bed, her first duty isto grasp the fundus with as little delay as possible and see if itscontraction is satisfactory, and then make sure that the child isnot lying face downward in the blood and discharges and indanger of strangling. As soon as the fundus is firm and solid i/6 A NURSES HANDBOOK OF OBSTETRICS. the cord may be tied and cut and the infant