. A treatise on obstetrics for students and practitioners . h thehead has engaged, but has made no progress,the effort should be made to bring it throughthe pelvis by suprapubic pressure until it canrotate partially upon the pelvic floor, whenthe forceps may complete the is especially well adapted to flat pelves of littlecontraction in which the external parts are sufficiently developed topermit safe delivery. In cases, however, in which the pelvis measuresless than 8J cm. in its antero-posterior diameter delivery must beeffected by abdominal section. The mortality-rate
. A treatise on obstetrics for students and practitioners . h thehead has engaged, but has made no progress,the effort should be made to bring it throughthe pelvis by suprapubic pressure until it canrotate partially upon the pelvic floor, whenthe forceps may complete the is especially well adapted to flat pelves of littlecontraction in which the external parts are sufficiently developed topermit safe delivery. In cases, however, in which the pelvis measuresless than 8J cm. in its antero-posterior diameter delivery must beeffected by abdominal section. The mortality-rate for the mother in simple flat pelves is not neces-sarily high if early diagnosis is made and good judgment be used inselecting the method of delivery. The mortality for children is alsonot excessively high where the degree of pelvic flattening is , however, the pelvis is considerably narrowed, if version be per-formed and the head be dragged forcibly through the pelvis, the skullmay be fractured by contact with the promontory of the sacrum. In. Head engaging in flat pelvis (SCHEOEDEE.) LABOR IN CONTRACTED PELVES. 289 difficult extractions it is often necessary to put the finger in the mouthof the child and aid delivery by strong traction upon the lower may also injure the child by causing respiration and favoring theinspiration of material from the vagina and the development of inspira-tion-pneumonia. In the high degrees of flat pelves the induction oflabor should not be practised, but the patient should come to term andbe delivered by abdominal section. If labor be induced at eight monthsin cases where the antero-posterior diameter of the pelvis is 9 cm., thechance for the birth of a living child is sufficiently good to warrantthe selection of this method of treatment. As regards the treatment of labor in the forms of contracted pelveswhich have just been considered, it is of the greatest importance thatearly diagnosis be made. This cannot be assured unles
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
