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August 14, 1954


JAMA. 1954;155(16):1442. doi:10.1001/jama.1954.03690340064016

New Obstetric Maneuver for Dystocia.  —At the first meeting of the Society of Obstetrics and Gynecology of Colombia recently held in Bogotá, Dr. R. Ramírez Merchán described a maneuver by which satisfactory results have been obtained in many cases of dystocia for several years. This consists of the application of forceps in transverse and vertex posterior presentations that constitute serious obstetric problems. This maneuver was first described in 1950. Since then its value has been confirmed by many obstetricians. According to Dr. Merchán, the advantages of the technique are as follows. 1. The maneuver changes all posterior and transverse into anterior presentations. 2. Rotation is carried out with only one blade, whereas the guiding hand protects the canal and prevents the vaginal tearing that is a frequent complication when rotation is made with the articulated forceps. 3. The forceps are applied only once, whereas in classic maneuvers and in the

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