A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . that the atmosphere is not a factor,and that the infectious material does not originate in the bodyof the woman. The sole exception to this latter statement iswhere, during the progress of labor or during obstetric manipu-lation, a pyosalpinx, for instance, ruptures. Such an eventmay lead to septic infection of the woman, but then the sepsiscannot be properly considered an obstetric epi-phenomenon. Aseptic and elective obstetrics rob labor of its terrors andthe puerperal state of we
A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . that the atmosphere is not a factor,and that the infectious material does not originate in the bodyof the woman. The sole exception to this latter statement iswhere, during the progress of labor or during obstetric manipu-lation, a pyosalpinx, for instance, ruptures. Such an eventmay lead to septic infection of the woman, but then the sepsiscannot be properly considered an obstetric epi-phenomenon. Aseptic and elective obstetrics rob labor of its terrors andthe puerperal state of well-nigh its sole risk. CHAPTER I. OBSTETRIC DYSTOCIA AND ITS DETERMINATION. A scientific knowledge of the configuration of the femalepelvis and of the methods of estimating its capacity is an essen-tial prelude to the practice of midwifery. The surgical side ofthe art, in particular, rests its results on accurate fate of the woman and of the foetus is intimately linkedwith the expertness of the physician in determining, before orat the time of labor, the probable capacity of the pelvis in its. Fig. 1.—Normal Female Pelvis. relation to the estimated size of the foetus. A consideration,therefore, of the surgical means at our disposal for assistinglabor or for facing its emergencies, must be preceded by a care-ful study of the pelvis, normal and abnormal. Furthermore, the pelvis is not the only element in theproblem which is to be solved. An approximate idea of thesize of the foetus which is to pass through the birth-canal is alsoto be secured. It is essential, therefore, to precede the surgeryof parturition by a description in brief of the anatomy of theobstetric pelvis and of the general physical features of the foetus. (9) 10 OBSTETRIC SURGERY. The pelvis is formed by the union of the ossa innominatawith the sacrum. The sacrum is connected with the vertebralcolumn above and with the coccyx below. The resulting canalis larger above than below, and is flattened t
Size: 1901px × 1314px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, bookpubli, booksubjectobstetrics
