lateral  or  Sims  position.  These  are  the  only  two  reclining  posi-
tions she  should  ever  thereafter  assume  in  bed.  If  this  simple
procedure  is  not  sufficient  to  dislodge  the  retroflexed  fundus,
then  with  the  patient  in  the  knee-chest  position  the  physician
passes  the  index  finger  high  up  in  the  cul-de-sac  and  dislodges  the
fundus  from  the  hollow  of  the  sacrum.  If  this  should  be  unsuc-
cessful, through  inability  to  reach  high  enough  with  the  finger,
a  sponge  holder  or  dressing  forceps  armed  with  a  small  ball  of
cotton  may  be  used  as  a  lever.  Any  great  degree  of  force  during
this  procedure  is  unnecessary  and  should  never  be  attempted.
In  conjunction  with  the  above  method,  traction  on  the  anterior
lip  of  the  cervix  by  means  of  a  tenaculum  forceps  is  often  of  help.
