Astanga Hrudaya

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वृद्धिपत्रं हि तीक्ष्णाग्रं न योनाववचारयेत्। पूर्वं शिरःकपालानि दारयित्वा विशोधयेत्॥३१॥

Vriddhipatra which has a sharp blade should not be inserted into the vagina. Methods of removing the dead impacted fetus by parts: First, the scalp should be punctured and then cleared out (pulled out of the uterus).

english translation

vRddhipatraM hi tIkSNAgraM na yonAvavacArayet। pUrvaM ziraHkapAlAni dArayitvA vizodhayet॥31॥

hk transliteration by Sanscript