The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 438.—General Cystic Elephantiasis.— (Ballantyne.) ANTENATAL DISEASES OF THE FETUS. 269 II. Fetal Traumatisms.—Injuries occurring during fetal life must be dis-tinguished from traumatisms of intra-partum origin, on the one hand, and certainaccidents which probably datefrom the embryonal period, on the other. Thisis by no means a simple matter. Fetal traumatisms may be divided into woundsof soft parts, fractures, dislocations, and amputations. Wounds.—Scars and circular defects of the skin have been
The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 438.—General Cystic Elephantiasis.— (Ballantyne.) ANTENATAL DISEASES OF THE FETUS. 269 II. Fetal Traumatisms.—Injuries occurring during fetal life must be dis-tinguished from traumatisms of intra-partum origin, on the one hand, and certainaccidents which probably datefrom the embryonal period, on the other. Thisis by no means a simple matter. Fetal traumatisms may be divided into woundsof soft parts, fractures, dislocations, and amputations. Wounds.—Scars and circular defects of the skin have been found at the former occur over what appear to be badly united fractures of thelong bones, it is possible that the osseous injury was complicated at the time bya cutaneous wound. The circular defects which are usually encountered on the. Fig. 439.—Four Skulls showing Lack of Development of the Parietal Bones ( False FONTANELLES) AND CONGENITAL FiSSURES OF THE PaRIETAL AND OCCIPITAL BoNES (False Sutures).—(Authors collection.) scalp are due, it is thought, to the tearing away by amniotic adhesions of portionsof the integument (see Congenital Defects of the Skin, Section VI). Fractures.—Clinically we understand by this condition various malforma-tions which indicate more or less imperfect bony union of a past fracture. Thus,observers have noted imitations of all the terminations of fractures in extra-uterine life, such as nodular swellings from excess of callus, angular union, falsejoint, etc. In some cases scars of the soft parts over the fractures appeared toindicate that the latter had been complicated by a cutaneous wound. As tocauses of fetal bone fractures, it is difficult to conceive of their occurrence savein brittle bones (see Fetal Bone Diseases, page 268). We know that fracturesoccur intra partum under
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
