Regarding the mental disturbances, mental troubles– it is, in my opinion, because of forced delivery, not normal delivery, but forced delivery, and the physician who is not capable of applying forceps properly should never attempt to do it. A lot of them dont know enough about forceps deliveries to do it, and that is a lot of trouble.
Regarding the public obstruction, doctor, the public arch– I cant put my hand in the proper way, but the public arch is something like that, and the head, as it comes down, catches on that public arch. It will go past, if you have a normal delivery; it will go like this, vertex of the head will pass through under the arch, but the bony structures, catch right on that.
That brings up the thing I had hopes would be asked about and was not, and that is about the kid slipper. Evidently there is not anyone here who knows what a kid slipper is, and that is the reason I wanted it asked about. A kid slipper is really a type of spoon.
DR. BOWIE: That is the old vectis, isnt it?.
DR. JACKSON: Very similar to that, yes, but the real name of this particular one I have in mind is a kid slipper, because it slips the head past that particular obstruction. It is inserted underneath the pelvic arch, against the childs head, and there is just enough pressure used to straighten out so that the head will pass by that particular obstruction. When it has passed by that obstruction, that is all the instrument has to do. Once in a while we find there is an obstruction below, on the pelvis, and then sometimes I will insert the instrument below, so as to catch underneath the chin or the side of the head, as it may be, of the infant, and slide it past that.
That is all the kid slipper is supposed to do and that will prevent instrumental deliveries in fully 90 per cent of the cases that would normally be 100 per cent instrumental.
