_Fracture of the parietal bone_ may even be produced, a fact of which
practitioners, till lately, have not been sufficiently aware; and cases
have occurred where children have been born dead, with the head greatly
distorted, and one of the bones fractured, from which circumstances the
mothers have been suspected of infanticide. Dr. Michaelis, of Kiel, has
lately reported an interesting case of this kind, where the fracture seems
to have resulted from the great immobility of the coccyx. The head was
much disfigured, and on examining it the frontal bones were uninjured, but
so flattened that the frontal and parietal portions of the sagittal suture
lay nearly in the same place; the fontanelle and anterior two-thirds of
the sagittal suture projected high up, and the sagittal borders of the
parietal bones were firm and well formed. In the posterior third of the
sagittal suture, where the parietal bones were firm and well formed, and
the suture only two lines in width, were seen small livid portions of the
longitudinal sinus forced between the bones. The occipital bone was
flattened and forced deep under the parietal bones, but not otherwise
injured. The right parietal bone, which during birth had been turned
towards the promontory of the sacrum, was covered anteriorly and
superiorly with effused blood, and on removing the periosteum, was found
fractured in five places. (_Neue Zeitschrift für Geburtskunde_, vol. iv.
part 3. 1836.[124])
Where the action of the uterus is not very violent, and the bones
yielding, the head gradually adapts itself to the form of the passage
without destroying the foetus; it elongates itself more and more until it
is enabled to pass, so that after a tedious labour of this sort, we
sometimes find the configuration of the head remarkably altered.
Baudelocque, has mentioned a case recorded by Solayres de Renhac, where
the head was so elongated that the long diameter measured eight inches all
but two lines, the transverse being only two inches and five or six lines.
Public-domain text, read in full here on John Shaqi.
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