A textbook of obstetrics . r un-favorable conditions as to food,light, and ventilation; but thefact that the mother has at sometime had rachitis herself, as evi-denced by the shape of her pelvis,seems of itself by no means topredispose the fetus to the sameaffection. The appearance of arachitic fetus, especially in thehigher grades of the disease,is quite distinctive. It has an*^| enlarged head, perhaps hydroce- ^^^H phalic ; gaping sutures and fon- W^ . tanels, a chicken breast, and a much distended abdomen ; theextremities are short, thick, andoften bent at an angle, or curved,and the joints
A textbook of obstetrics . r un-favorable conditions as to food,light, and ventilation; but thefact that the mother has at sometime had rachitis herself, as evi-denced by the shape of her pelvis,seems of itself by no means topredispose the fetus to the sameaffection. The appearance of arachitic fetus, especially in thehigher grades of the disease,is quite distinctive. It has an*^| enlarged head, perhaps hydroce- ^^^H phalic ; gaping sutures and fon- W^ . tanels, a chicken breast, and a much distended abdomen ; theextremities are short, thick, andoften bent at an angle, or curved,and the joints are large andprominent. The spine is oftencurved either laterally or The bones are either abnormally hard andfirm or so brittle that they are fractured by the slightest condition of the bones in rachitis may be stimulated by thearrest of bony development in cases of sporadic fetal and Muller have described bone diseases in the fetuswhich appear to be varieties of Fig. 118.—Rachitis congenita micro-melica (authors case). 1 Monatschr. f. Geburtsh., 2 Archiv f. Gyn., Bd. viii,4 Transactions of Meeting Bd. xxx, S. 401. S. 500. 3 fb;d. f Bd. x. of German Naturalists and Physicians, 1886. Berlin, 5 Grafe, loc. cit. Virch Archi Bd. c, S. 256. THE DISEASES OF THE FETUS. 165 Anasarca.—General anasarca of the fetus is occasionally distention of the fetal skin may reach such dimensions thatthe expulsion of the child becomes exceedingly Suchchildren are, however, usually born prematurely from the fourthto the eighth month, and are, as a rule, still-born, although casesare recorded in which death only occurred some little time afterbirth. The causes of this condition must be various. It hasbeen attributed to anasarca of the mother, to syphilis, to absenceof the thoracic duct; 2 in one instance to leukemia of the fetus,3in another to obstruction of the umbilical The serousinfiltration of the skin is
Size: 1206px × 2073px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
