The American text-book of obstetrics for practitioners and students . The six other living children were all born ofthe same mother.* Treatment.—Forceps and version are not, as a rule, successful in the treat-ment of labor obstructed by an obliquely-contracted pelvis unless the degreeof deformity is slight. The induction of premature labor and the perform-ance of Cesarean section are the most successful means of delivery, but theformer should be resorted to only when the distance between the lower edgeof the symphysis pubis and the sacro-iliac joint of the healthy side is notunder centimet
The American text-book of obstetrics for practitioners and students . The six other living children were all born ofthe same mother.* Treatment.—Forceps and version are not, as a rule, successful in the treat-ment of labor obstructed by an obliquely-contracted pelvis unless the degreeof deformity is slight. The induction of premature labor and the perform-ance of Cesarean section are the most successful means of delivery, but theformer should be resorted to only when the distance between the lower edgeof the symphysis pubis and the sacro-iliac joint of the healthy side is notunder centimeters. In 20 forceps operations thirteen women died. Theproposition of Pinard to do what he calls ischio-pubiotomy has not met withmuch favor. The room gained by the movement outward of the innominatebone on the healthy side, the other being, of course, immovable, will be suf-ficient only in pelves so slightly contracted as to allow a delivery by muchsimpler means. * The writer is indebted for these statistics to Schauta (loc. cit.). DYSTOCIA. :J,.. 1. Transversely-contracted pelvis (Robert: model in Mutter Museum, College of Physicians, Philadelphia).2. Transversely-contracted pel vis, showing contraction al outlet (model in the llir>t Collection, University ofPennsylvania). 3. Transversely-contracted pelvis, with absence of sacrum (Hohl). i. Split pelvis Schauta)5. Generally equally-contracted rachitic pelvis (Hirst Collection, University of Pennsylvania). 6. Generally-contracted rachitic pelvis (Hirst Collection, University of Pennsylvania). 7. Typical flat rachitic pelvis Mut-ter Museum, College of Ihysieiansi. The promontory of the sacrum projects so Jar forward that the truetransverse diameter is bisected by it. 8. Flat rachitic pelvis, with unusual descent of the promontory, rota-tion of the sacrum, and lordosis (Mutter Museum, College of Physicians). DYSTOCIA. )., Transversely-contracted Pelvis the Result of Imperfect Develop-ment of both Sacral Alte.—This p
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
