Operative midwifery : a guide to the difficulties and complications of midwifery practice . symphysis pubis, and then deducting fromthat the thickness of the symphysis (Fig. 107). The manner ofmeasuring the transverse is explained in Figs. 103a and 108/. Buteven with Skutschs pelvimeter one cannot reckon on absolute accuracy,and it is evident that the results obtained are not satisfactory, forwithin the last few years new forms of pelvimeter have besn described DIAGNOSIS OF CONTRACTED PELVIS LSI by Zweifel1 (Fig. 109) and These latter are to all intentsand purposes old forms revived,


Operative midwifery : a guide to the difficulties and complications of midwifery practice . symphysis pubis, and then deducting fromthat the thickness of the symphysis (Fig. 107). The manner ofmeasuring the transverse is explained in Figs. 103a and 108/. Buteven with Skutschs pelvimeter one cannot reckon on absolute accuracy,and it is evident that the results obtained are not satisfactory, forwithin the last few years new forms of pelvimeter have besn described DIAGNOSIS OF CONTRACTED PELVIS LSI by Zweifel1 (Fig. 109) and These latter are to all intentsand purposes old forms revived, and with absolute certainty will gothe way of all others. From personal experience I believe Skutschspelvimeter is the best, although I have long ago given up attemptingto measure the internal pelvic capacity with instruments. Quite a new principle characterizes the ingenious invention ofNeuman and The principle involved in the pelvigraphis that of parallel rulers. One arm localizes the various points withinthe pelvis, while the other has attached to it a dial. The various. Fig. 106.—Measuring the Transverse Diameter of the Outlet. points are mapped out on a piece of paper, and the general pelvicformation in sagittal section is constructed. I understand that it has not come up to expectation. Certainly itis far too complicated for practical purposes, and this is the conclusioncome to b}T Radiography has not proved of practical value; for although withX rays one can obtain an idea of the general pelvic formation, sofar it has been impossible to make exact measurements of the pelvicdiameters. i Zeit. f. Gyn., 1906, p. 763. - Ibid., 1905, No. 24. 3 Geb. u. Gyn., vol. xi., p. 237. 4 Winckel, Lehrbuch, Bd. ii., Teil ii., 1905, p. 1858. L82 li:i;\TlYK MIDWIFERY


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Keywords: ., bookcentury1900, bookdecade1910, bookpubli, booksubjectobstetrics