Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
As the pelvis occupies an oblique position in the body, the plane of
this brim is not horizontal, but slopes up and back from the
symphysis-pubis to the promontory of the sacrum. Being swung upon the
heads of the femora, the relation of the pelvis to the entire body
differs in the sitting and standing positions. When a woman stands
upright, her pelvis is so markedly oblique in its position that she
would tip backward but for strong tendons attached to the pelvis and
running down the front of the thighs. Added strain upon these tendons
during pregnancy may account for some of the apparently undue fatigue
experienced by the expectant mother.
The shallow, expanded portion of the pelvis above the brim is the large,
or false pelvis, its walls being formed by the sacrum behind, the
fan-like flares of the ilia on each side, with the incompleteness of the
bony wall in front made up by abdominal muscles.
=The false pelvis= ordinarily serves simply as a support for the
abdominal viscera, which do not occupy the true pelvis unless forced
down by some such pressure as that caused by tight, or poorly fitting
corsets. The false pelvis is of little obstetrical importance, its
function during pregnancy being to support the enlarged uterus, while at
the time of labor it acts as a funnel to direct the child’s body into
the true pelvis below.
[Illustration:
FIG. 3.—Diagram of pelvic outlet, seen from below, with most important
diameters.
]
=The true pelvis=, on the other hand, is of greatest possible
obstetrical importance since the child must pass through its narrow
passage during birth. It lies below and somewhat behind the inlet; is an
irregularly shaped, bottomless basin, and contains the generative
organs, rectum and bladder. Its bony walls are more complete than those
of the false pelvis, and are formed by the sacrum, coccyx and innominate
bones. Its lower margin constitutes the _outlet_, or _inferior strait_,
and being longer in its antero-posterior dimension than in its
transverse measurement, its long axis is at right angles to the long
axis of the inlet. (Fig. 3.) A baby’s head, accordingly, must twist or
rotate in making its descent through this bony canal, for the long
diameter of the head must first conform to one of the long diameters of
the inlet, either transverse or oblique, and then turn so that the
length of the head is lying antero-posteriorly, in conformity to the
long diameter of the outlet, through which it next passes.
The posterior wall of the pelvis, consisting of the sacrum and coccyx,
forms a vertical curve and is about three times as deep as the anterior
wall formed by the narrow symphysis pubis. The structure as a whole,
therefore, curves upon itself, resembling a bent tube with its concavity
directed forward. (Fig. 4.)
[Illustration:
FIG. 4.—Diagram of sagittal section of the pelvis showing curve of the
bony canal, with most important diameters.
]
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account