. A treatise on obstetrics for students and practitioners . steomalacia, pregnancy should be con-tinued to term, every precaution being taken to maintain the mothershealth and promote her nutrition during gestation. Delivery shouldbe accomplished by abdominal incision, and further impregnation should LAB OB IN BABE VABIETIES OF DEFOBMED PELVES. 295 be rendered impossible by hysterectomy, with removal of the tubes andovaries. In cases of osteomalacia where the disease is advancing delaymust not be practised, but pregnancy should be terminated at ouce. The prognosis for mothers and children in t
. A treatise on obstetrics for students and practitioners . steomalacia, pregnancy should be con-tinued to term, every precaution being taken to maintain the mothershealth and promote her nutrition during gestation. Delivery shouldbe accomplished by abdominal incision, and further impregnation should LAB OB IN BABE VABIETIES OF DEFOBMED PELVES. 295 be rendered impossible by hysterectomy, with removal of the tubes andovaries. In cases of osteomalacia where the disease is advancing delaymust not be practised, but pregnancy should be terminated at ouce. The prognosis for mothers and children in these cases is the worstpossible if the cases are neglected and allowed to come into spontaneouslabor. On the other hand, mother and child have an excellent chance forrecovery if delivery be performed at term by surgical interference. Thesecases are far less dangerous in many respects than are those of less pro-nounced pelvic deformity. The dwarf and the cripple are so evidentlydiseased that, if they become pregnant, attention is drawn at once to Fig. Vertical mesial section, kyphotic pelvis. (Barbour and Webster.)a. Small intestine. 6. Last lumbar vertebra, c. Uterus, d. Peritoneum, e. Placental Uterine cavity, g. Rectum, h. Pouch of Douglas, i. Cervix, j. Cervical canal, k. Cellulartissue. I. Bladder, m. Vein. n. Symphysis pubis, o. Urethra, d. Cellular tissue, v. Anus. their condition and the question of delivery is promptly raised. Inthe lesser forms of pelvic abnormality there is often nothing to drawattention to the condition, and unless pelvimetry be practised patientscome into labor without suitable preparation, and are allowed to lingeruntil it is evident that delivery without assistance is impossible. Asa result, the most frequent successes in obstetric surgery have, many ofthem, been obtained in cases of highly deformed pelves. On the con-trary, many fatal cases of labor, where mother or child or both have 296 THE PATHOLOGY OF LABOR. perished
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
