Cesarean section . experience is liable to meet with an occasional case. Since thevertebral column and pelvis are the portions of the skeleton most af-fected, it has a special importance obstetrically, particularly since thepelvic change increases in repeated pregnancies, so that instead of laborbecoming easier it may eventually become impossible and require cesareansection for delivery. The history of these patients is usually quite characteristic and aidsgreatly in the diagnosis of the condition. The parturient woman, usuallya multipara, complains of muscular symptoms, generally involving th
Cesarean section . experience is liable to meet with an occasional case. Since thevertebral column and pelvis are the portions of the skeleton most af-fected, it has a special importance obstetrically, particularly since thepelvic change increases in repeated pregnancies, so that instead of laborbecoming easier it may eventually become impossible and require cesareansection for delivery. The history of these patients is usually quite characteristic and aidsgreatly in the diagnosis of the condition. The parturient woman, usuallya multipara, complains of muscular symptoms, generally involving theiliopsoas muscles, associated with rheumatoid pains. The same symptoms 48 CESAREAN SECTION recur with increased severity in each succeeding pregnancy and labor ismore difficult than ever before. If pregnancy again occurs, the painsbecome more severe and locomotion is so interfered with that for thelast months of pregnancy the patient is bedridden and craniotomy orcesarean section is necessary at the time of Fig. 25.—Osteomalacic Pelvis (from above). Shortly after delivery the pains disappear, and when the patient isable to be up and about again she notices she is some inches shorter than
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