Operative midwifery : a guide to the difficulties and complications of midwifery practice . o that the subjects of the disease have a peculiar swinging the muscles and ligaments dragging on their attachments, amarked curving of the iliac crests, and posterior parts of the in- DEFORMITIES OF THE BONY PELVIS 109- nominate bones, results, so that the posterior spinous processes mayalmost touch (Fig. 98). The diagnosis of this variety of pelvic defomiity is not history of the disease and the deformities produced are absolutel vcharacteristic. Prior to Fehlings discovery tha
Operative midwifery : a guide to the difficulties and complications of midwifery practice . o that the subjects of the disease have a peculiar swinging the muscles and ligaments dragging on their attachments, amarked curving of the iliac crests, and posterior parts of the in- DEFORMITIES OF THE BONY PELVIS 109- nominate bones, results, so that the posterior spinous processes mayalmost touch (Fig. 98). The diagnosis of this variety of pelvic defomiity is not history of the disease and the deformities produced are absolutel vcharacteristic. Prior to Fehlings discovery that oophorectomy had such a bene-ficial effect upon the disease, the salts of lime and phosphorus invarious forms were most strongly recommended. The results obtainedfrom such drugs, however, were not very satisfactory. As a result of Fehlings discoveries, Csesarean section, with removalof uterus and ovaries, is the treatment to be adopted in all pronouncedexamples of the disease. In the slighter forms of the disease othersimpler methods of treatment may prove sufficient, but owing to the. Fig. 98.—Osteomalacic Pelvis (Posterior View). nature of the deformity it can be readily understood that it does notrequire any great malformation to render delivery j>er rias naturales-impossible. New Growths.—Small osteomata (pelvis spinosa), more especiallyabout the symphysis, sacro-iliac synchondrosis, and the ilio-pectinealeminences, are not very uncommon. Such small growths, if thepelvis is contracted, may cause injuries to the foetal head, such asgutter-shaped indentations and fractures (Chapter XXXVIII.), orlacerations of the uterus from the pressure of the head. Larger tumours (Fig. 99)—osteomata, enchondromata, fibro-mata—are only very occasionally encountered. In the last sixyears, in the Maternity Hospital, we have only had one case,recorded by With the exception of the osteomata, theyare frequently malignant, most commonly sarcomatous. They areusually situated
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Keywords: ., bookcentury1900, bookdecade1910, bookpubli, booksubjectobstetrics
