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 Sanscriptकक्षोरस्तालुचिबुकप्रदेशेऽन्यतमे ततः। समालम्ब्य दृढं कर्षेत्कुशलो गर्भशङ्कुना॥३२॥
Next, the axillae, chest, palate, or chin, any one should be held tight by the fetal hook (fetal forceps) and pulled out by expert surgeon. Fetus, whose head has not been crushed should be held by its eye sockets or temples (and then pulled out);
english translation
kakSorastAlucibukapradeze'nyatame tataH। samAlambya dRDhaM karSetkuzalo garbhazaGkunA॥32॥
hk transliteration by Sanscriptअभिन्नशिरसं त्वक्षिकूटयोर्गण्डयोरपि। बाहुं च्छित्वांऽससक्तस्य वाताध्मातोदरस्य तु॥३३॥
by cutting off its arms. If impacted by its shoulders (it should be pulled out). If its abdomen is bloated by air, the alimentary tract should be split, intestine pulled out (and the fetus extracted).
english translation
abhinnazirasaM tvakSikUTayorgaNDayorapi। bAhuM cchitvAM'sasaktasya vAtAdhmAtodarasya tu॥33॥
hk transliteration by Sanscriptविदार्य कोष्ठमन्त्राणि बहिर्वा सन्निरस्य च। कटीसक्तस्य तद्वच्च तत्कपालानि दारयेत्॥३४॥
If impacted by the waist, the pelvic bones should be cut as explained in case of intestines.
english translation
vidArya koSThamantrANi bahirvA sannirasya ca। kaTIsaktasya tadvacca tatkapAlAni dArayet॥34॥
hk transliteration by Sanscriptयद्यद्वायुवशादङ्गं सज्जेद्गर्भस्य खण्डशः। तत्तच्छित्त्वाऽऽहरेत्सम्यग्रक्षेन्नारीं च यत्नतः॥३५॥
Which ever the parts of the fetus, being afflicted by vitiated vayu, is obstructing the tract, they should be cut to pieces and removed properly and the mother should be protected with all efforts.
english translation
yadyadvAyuvazAdaGgaM sajjedgarbhasya khaNDazaH। tattacchittvA''haretsamyagrakSennArIM ca yatnataH॥35॥
hk transliteration by Sanscript