Operative midwifery : a guide to the difficulties and complications of midwifery practice . Fig. 60.—Foetal Ascites. (Ballantyue.) Distension of the abdomen from ascites (Fig. 60) and tumours ofthe spleen, liver, testicles, ovaries, kidneys (Fig. 61), bladder, although 110 OPERATIVE MIDWIFERY rare, is not very uncommon. Each of these tumours is of pathologic!interest, but unfortunately they cannot be considered here. FroBthe obstetric standpoint they all present the same feature. The difltended abdomen prevents the descent of the I-,,. 61.—Congeoitally Enlarged Kidneys (Natural Size .
Operative midwifery : a guide to the difficulties and complications of midwifery practice . Fig. 60.—Foetal Ascites. (Ballantyue.) Distension of the abdomen from ascites (Fig. 60) and tumours ofthe spleen, liver, testicles, ovaries, kidneys (Fig. 61), bladder, although 110 OPERATIVE MIDWIFERY rare, is not very uncommon. Each of these tumours is of pathologic!interest, but unfortunately they cannot be considered here. FroBthe obstetric standpoint they all present the same feature. The difltended abdomen prevents the descent of the I-,,. 61.—Congeoitally Enlarged Kidneys (Natural Size . (Ballantyne.) If the presentation is cranial, unless the abdominal distension isextreme, the shoulders can usually be delivered; the trouble is in? •xtracting the trunk. In these cases the diagnosis is simple, for thetrunk of the child should always pass through the maternal pelvis MALFORMATION OF THE FCKTFS 111 iixsily. When, however, the shoulders also refuse to descend, there is, little more difficulty in appreciating the cause of the dystocia. Theinusual distension of the mothers abdomen may arrest attention, butometimes the hand has to be passed into the uterus before a diagnosisan be made. I had an illustration of this recently in a case ofxtrerue ascites. Should the child present by the breech, one or both legs may be>rolight down, but further delivery is impossible. The other con-
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Keywords: ., bookcentury1900, bookdecade1910, bookpubli, booksubjectobstetrics
