A manual of obstetrics . ion performed, andthe child rapidly delivered in order, if possible, to preserveits life. While it is possible that this procedure may besuccessful, the child will probably survive only for a fewweeks or months, and ultimately perish from the diseaseof the brain that primarily produced the , craniotomy with forceps-delivery is indicated inorder to avoid serious maternal consequences. In thosecases in which the breech presents perforation must be FETAL DYSTOCIA. 495 made through or near the foramen magnum, or the spinalcolumn may be opened and the
A manual of obstetrics . ion performed, andthe child rapidly delivered in order, if possible, to preserveits life. While it is possible that this procedure may besuccessful, the child will probably survive only for a fewweeks or months, and ultimately perish from the diseaseof the brain that primarily produced the , craniotomy with forceps-delivery is indicated inorder to avoid serious maternal consequences. In thosecases in which the breech presents perforation must be FETAL DYSTOCIA. 495 made through or near the foramen magnum, or the spinalcolumn may be opened and the contents of the cerebralventricles drained off through a hard-rubber catheterpassed up into the brain (Fig. 140). (2) Encephalocele,meningocele, and Jiydrocnccplialocele do not often seriouslycomplicate labor: the growths are either of such an insig-nificant size or so situated (in the occipital region or im-mediately over the root of the nose) that they do notmaterially impede the progress of labor; their easy de- /?. Fig. 140.—Tapping a hydrocephalus through the spinal canal (Dickinson). livery is, moreover, favored by the compressibility of thetumor and of the cranial bones themselves, which verygenerally appear to have undergone some process of 496 A MANUAL OF OBSTETRICS. osteomalacia or other degenerative change, whereby theyare rendered much softer than normal. Should obstruc-tion to labor occur, it will become necessary to perforatethe tumor and draw off its contents, reducing thereby itsbulk and rendering its delivery possible. This need notnecessarily result fatally to the fetus if proper asepticprecautions be taken. {e) Tumors of the Fetal Tnmk.—Certain tumors situatedon or within the fetal trunk may by their bulk and situationinduce a very serious form of fetal dystocia. Prominentamong these growths may be mentioned spina bifida; tera-tomata situated on the jaw, spine, or orbit; congenital her-niae of the viscera through clefts in the abdominal or thoracicwalls
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
