. Lectures on natural and difficult parturition . ers you have been accustomed to notice. The increasedsize of the posterior fontanelles, the mobility and sej^aration of * It is right to state, that these cases, recorded by Dr. Lee in his Clinical Mid-wifery, (pp. 54-60,) were cases in which Dr. Lees assistance was required, notthose attended by him from the commencement of labour. 138 LE CT URE S ON PARTURITION. the sagittal suture, the great overlapping of the parietal bonesdurino- a pain, if the head have entered the pelvic cavity, and thegeneral looseness of these boaes, would sufficiently
. Lectures on natural and difficult parturition . ers you have been accustomed to notice. The increasedsize of the posterior fontanelles, the mobility and sej^aration of * It is right to state, that these cases, recorded by Dr. Lee in his Clinical Mid-wifery, (pp. 54-60,) were cases in which Dr. Lees assistance was required, notthose attended by him from the commencement of labour. 138 LE CT URE S ON PARTURITION. the sagittal suture, the great overlapping of the parietal bonesdurino- a pain, if the head have entered the pelvic cavity, and thegeneral looseness of these boaes, would sufficiently point out thenature of the case and determine the practice. Such are the priilcipal causes of difficulty depending upon thehead of the child, in the second stage of labour. The most im-portant of these is certainly that in which the head is too largeand too much ossified—the head of the male child. Let us nowturn to the difficulties presented by the pelvis; and, to preventconfusion, we shall assume that the head presents in the Masculine Pelvis. It will not be necessary again to enter upon a detailed descrip-tion of the varieties in the irregularly formed pelvis; it will besufficient to recapitulate briefly those leading points of diflTerencethat are of practical importance; and with this view we wouldbeg of you to consider attentively that form of pelvis which hasbeen described as resembling the male pelvis^, to compare it withthe pelvis deformed by disease, and to observe the points of con-trast between them. The first to which we would direct yourattention, is the difference in the degree of ossification. Thepelvis resembling the male is more osseous than the standardpelvis; the diseased pelvis less so. The former we shall call (forbrevity) the masculine pelvis, and proceed to consider its especialcharacters. Its weight is greater than the ordinary pelvis, in con-sequence of the increased deposition of bone; but, what is more THE SOFTENED PELVIS. I39 impor
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Keywords: ., bookcentury1800, bookdecade1840, bookidlec, booksubjectobstetrics
