ABSTRACT
The aim of the article is to introduce the original version of Kristeller's procedure - Expressio fetus. The author of the procedure, Samuel Kristeller, was bom in 1820 in Ksiaz Wielkopolski. He worked as a physician in Gniezno, then in Berlin. He is known as the creator of the described procedure - pushing out the foetus. He had also specified the meaning of the cervical plug (Kristeller's plug), and modified obstetrical forceps. He died in Berlin in 1900. In 1867, Kristeller published a study in which he described a procedure, of which he was the author, of pushing out the foetus (manual assistance), its technique, conditions and recommendations for its application. The main idea of the procedure meant strengthening uterine contractions during labour by massaging the uterus and pressing it many times shortly, towards the long axis of the birth canal. Nowadays this procedure has become warped in its form; there remains also the controversy whether or not to use external force directed on the uterine fundus during labour, due to the risk of intrauterine foetal anoxia and other complications.
Subject(s)
Birth Injuries/history , Delivery, Obstetric/history , Obstetrical Forceps/history , Version, Fetal/history , Birth Injuries/prevention & control , Delivery, Obstetric/methods , Famous Persons , Female , History, 19th Century , Humans , Labor Presentation , Male , Massage/history , Poland , PregnancySubject(s)
Delivery, Obstetric/history , Dystocia/history , Labor Presentation , Abortion, Induced/history , Birth Injuries/etiology , Birth Injuries/prevention & control , Cesarean Section/history , Delivery, Obstetric/methods , Dystocia/etiology , Dystocia/therapy , Emergencies , Equipment Design , Extraction, Obstetrical/history , Female , History, 20th Century , Humans , Infant, Newborn , Maternal Death/history , Obstetrical Forceps/history , Oxytocics/administration & dosage , Pregnancy , Stillbirth , Version, Fetal/historyABSTRACT
BACKGROUND: In ancient times, maternal mortality would occur frequently, particularly during labor. Evidence of dystocia resulting in the death of a pregnant woman is very infrequent in paleopathologic literature, with only a few cases being demonstrated. CASE: In the early medieval site of Casserres, the skeleton of a young woman with a fetus in the pelvic region was found. Some abnormal findings of the maternal skeleton were evaluated, including a sacral anomaly, femoral head wound, the rare position of the lower left limb with the femoral head dislodged anteriorly and cephalad from the socket, and a fibular fracture. CONCLUSION: Examining the anomalies all together, a case of anterior hip dislocation related to a McRoberts-like maneuver performed during labor is a plausible explanation of the findings.