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assistant or nurse. The female blade is then passed upward and anterior to the first. To avoid embarrassment in passing the second blade, the patient's hips should well overhang the edge of the bed ; otherwise there cannot be free play for the handles. When in position the two handles may be brought together, using caution not to pinch the soft parts, then to be securely locked, and nothing now remains but to apply the extractive force. The lithotomy position, or that on the back, derived fromdoi:10.1056/nejm187912181012502 fatcat:lylwqkd6srfjvhldjs6kggxwoa