The principles and practice of obstetrics . antero-lateral walls of the pelvis, Fig. 90,on page 390,) all dependence upon Baudelocques me-thod must be more or less futile. Practitioners, there-fore, depend almost exclusively upon internal exami-nations, in order to ascertain the extent, the character,and the degree of pelvic deformities. This internal examination is most satisfactorily madehy the finger of the educated and experienced practi-tioner, although numerous instruments have been de-vised for this purpose. By it the accoucheur can ascer-tain at once the general character of the deform
The principles and practice of obstetrics . antero-lateral walls of the pelvis, Fig. 90,on page 390,) all dependence upon Baudelocques me-thod must be more or less futile. Practitioners, there-fore, depend almost exclusively upon internal exami-nations, in order to ascertain the extent, the character,and the degree of pelvic deformities. This internal examination is most satisfactorily madehy the finger of the educated and experienced practi-tioner, although numerous instruments have been de-vised for this purpose. By it the accoucheur can ascer-tain at once the general character of the deformity,whether it be uniform upon both sides of the pelvis, orwhether one side be more contracted than the oppo-site, whether the constriction involves simply the supe-rior strait, or also other portions of the pelvis, whetherthe sacrum be more or less concave than usual, whetherthe coccyx has receded or advanced toward the pubis,whether the arch of the pubis has become contractedand angular, and whether the sides of the pelvis or50 Fix. Measurement by the Index Finger. 9 1 DEFOKM 1TI BS.— OBLIQUITIES. tabei a have approximated I 1 from each other, etc,, This information can be obtained by the index fin-into the vagina, with its radial sideUlterior, and its point directed toward the promon-uTum. If the projection of the sacrumbe somewhat greater than natural, it can generallyilly if examination be made during labor,or in women who have previously borne this can be accomplished, the practitioner canlily measure, on his finger, the distance from thepromontory of the sacrum to the triangular ligamentof the put .is, which will give the hypothenuse of a tri-angle, one side of which subtends the length of the sym-physis pubis, and the other extends from the pubis tothe j ,r< rinontory of the sacrum. It is found generally—admitting, of course, some exceptions—that the differ-ence between the two long sides of this triangle will behalf an inch. Hence, if th
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Keywords: ., boo, bookcentury1800, booksubjectobstetrics, booksubjectpregnancy
