Obstetrics for NursesReed, Charles B. (Charles Bert)
Science
Obstetrics for Nurses
Reed, Charles B. (Charles Bert)
Maternity nursing
The study of obstetrics is an investigation of the passage, the
passenger, and the driving powers of labor, as well as of the various
complications and anomalies that may attend the process of reproduction.
The passage is composed of a bony canal, called the pelvis, and the soft
tissues which line and almost close its outlet.
=The pelvis= is made up of four bones; the sacrum, the coccyx, and two
other large structures of irregular shape, called the hip, or innominate
bones. Joined by cartilage and held in place by ligaments, they form a
cavity or basin which, in the male is deep, narrow, small and
funnel-shaped, while in the female, slighter bones, expanded openings
and wider arches make a broad, shallow channel, through which the child
is born.
The bony pelvis is divided for description into two parts, the upper or
false pelvis, and the lower or true pelvis. The upper pelvis is formed
by the wings of the innominate bones and has but two functions of
importance to child-bearing. It acts as a guide to direct the child into
the true passage, and when measured by the pelvimeter, it gives
information as to the shape and size of the inlet to the true pelvis.
The true pelvis is of most concern to the obstetrician, because
anomalies in its size or shape may impede the progress of labor or
render it impossible. The pelvis is divided conveniently into three
parts: the brim, the outlet, and the cavity.
The _brim_, _inlet_, or _upper pelvic strait_, is the boundary line
between the false and true pelvis. It is traced from the upper border of
the symphysis along the iliopectineal line on both sides to the
promontory of the sacrum. The shape and size of this opening varies much
in different races and individuals, both normally and through disease;
and when pathologically altered, both shape and size may exercise a
marked influence on the course of labor. In American women, the outline
of the brim is roughly heart-shaped, like an ovoid with an indentation
where the promontory of the sacrum impinges upon the opening.
[Illustration: Fig. 1.—The normal female pelvis. (Eden.) The lines _ab_
and _cd_ divide the pelvis into the right and left anterior and the
right and left posterior quadrants. _ab_ indicates the anteroposterior
diameter of the brim, _cd_ shows the transverse diameter while _gh_ and
_ef_ represent, respectively, the right and left oblique 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