Veit Smellie handle

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The Veit Smellie handle is a technique used to support childbirth when a breech is present . This technique was developed by gynecologists Gustav Veit and William Smellie .

The handle is used if the head does not follow immediately after the birth of the trunk or if an arm solution was previously necessary. This achieves maximum flexion of the child's head and thereby enables faster and easier delivery.

execution

First the child is placed on the forearm of the obstetrician / surgeon, then a finger of this positioning hand is inserted into the child's mouth up to the base of the tongue. The pull that is then built up ensures that not only the lower jaw but the entire head bends. The index and middle fingers of the other hand grip the shoulder girdle, the remaining fingers also fix the child's back on the forearm. The downward pull now to be exercised is done by this hand, which pulls steeply downward until the neck-hair border becomes visible. The head is born through the optimal use of the caulking point, the reduction in circumference and the arched rise of the trunk.

supporting documents

  1. ↑ a b Keyword "Veit-Smelie-Handgriff" in Pschyrembel Medical Dictionary. 257th edition, Walter de Gruyter, Berlin 1993; Page 1648. ISBN 3-933203-04-X .

literature

  • Gustav Veit: About the best method for extracting the child's head that follows . In: Greifswald medical contributions . Danzig 1863.
  • Mändle, Opitz-Kreuter, Wehling: The midwifery textbook of practical obstetrics . Schattauer, Stuttgart: 1997 ISBN 3-7945-1765-2