. The science and art of midwifery. rare. In pelves of this variety the highest degreeof contraction is observed. \ Diagnosis.—In the justo-minor pelvis all the external diameters arediminished. At the same time, rickets is excluded by the normal re-lations existing between the spines and the crests of the ilia {vide ). The diagonal conjugate is lessened. In estimating the conju- * Litzmann, Die Formcn des Beckons, Berlin, p. 40. f Michaelis, Das enge Beckon, herausgogeben von Litzmann, p. 190; vide like-wise, Lohlein, Zur Lehrc vom Durchweg zu cngen Beckon, Ztschr. f. Geburtsh.
. The science and art of midwifery. rare. In pelves of this variety the highest degreeof contraction is observed. \ Diagnosis.—In the justo-minor pelvis all the external diameters arediminished. At the same time, rickets is excluded by the normal re-lations existing between the spines and the crests of the ilia {vide ). The diagonal conjugate is lessened. In estimating the conju- * Litzmann, Die Formcn des Beckons, Berlin, p. 40. f Michaelis, Das enge Beckon, herausgogeben von Litzmann, p. 190; vide like-wise, Lohlein, Zur Lehrc vom Durchweg zu cngen Beckon, Ztschr. f. Geburtsh. , Bd. i, p. 53. \ There is a third form of justo-minor pelvis, which is the concomitant of undevelopedorgans of generation. As it occurs only in sterile women, it possesses no obstetrical interest. CONTRACTED PELVES. 469 gata vera it is necessary carefully to notice the height of the promon-tory, and the inclination of the anterior pelvic wall, as these are some-times exaggerated and call for an increase in the amount to be de-. Fig. 218.—Specimens from the Wood Museum (Bellevue Hospital). Drawn on same 1. Normal pelvis. No. 2. Justo-minor pelvis.* ducted, f By careful palpation of the two sides of the pelvis with thehalf-hand introduced into the vagina, the fact but not the degree oftransverse shortening may be recognized. Still, in this way the ex- * Primipara, aged twenty-three. In labor three days previous to my seeing all escaped. Large scalp-tumor reaching nearly to vulva. Cervix rigid. Os onethird dilated and pushed down by scalp-tumor. Forceps tried. Afterward perforationand craniotomy. Chin tilted and head brought through the pelvis by the f ronto-mentaldiameter. Patient died on third day. Extensive marks of pressure in the bladder oppo-site pelvic rami. Small circular perforation of uterus opposite promontory. Conjugatediameter three inches. Transverse diameter of brim four and a half inches. Slight Nae-gele obliquity on left side. Patient w
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Keywords: ., bookcentury1800, bookdecade1890, bookidsci, booksubjectobstetrics
