The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
Malacosteon or softening of the bones, may come on at any period
of life, and frequently occurs without any serious constitutional
disturbance. It consists in a gradual absorption from the bones of
all their solid matter, so that they become soft, and may be bent or
twisted like horn. Sometimes this state will be reached very soon, but
at other times the disease progresses very slowly. The causes of it are
unknown, and it is incurable. I have seen a patient who could bend the
bone of her leg _nearly double_, as if it were a piece of rope.
In my work on the Diseases of Woman, I have spoken upon various other
causes which may deform the bones in young females, such as wearing
corsets, improper attitudes in sitting, and want of sufficient
_unconstrained_ exertion of the body in the open air.
The deformities may be of various kinds, and may either alter the
general appearance and the walk, or may not be discoverable except on
examination. Sometimes the pelvis is _too large_, so that the womb and
other parts are continually falling down into its cavity, but this is
very rarely seen; more frequently it is either too small, or irregular
in its form.
In all cases where the irregularity in form, or diminution in size,
is such as to prevent the passage of the child an operation becomes
necessary, either upon the mother or her infant, and great danger is
consequently incurred by both.
It is therefore the duty of every mother, if she has the slightest
suspicion that her daughter is deformed, though it may not be apparent,
to have her examined before she is allowed to marry. _Many have lost
their lives for want of this precaution._ Severe blows or falls in
early life may also create a pelvic deformity, and this, as a possible
consequence of such accidents, should always be borne in mind. The
means by which the form and size of the pelvis are ascertained, as
before stated, are simple, and such as need not in any way be feared.
To enumerate all the varieties of deformed pelvis, as described by
different authors, is unnecessary, and would not be useful here. I
shall therefore only refer to them generally. Sometimes the pelvis
is regular enough in its form, but singularly small altogether, not
larger perhaps than that of a child eight or nine years of age. More
frequently, however one part only is small, while the others are full
sized, or the different parts are not in a proper position in regard to
each other. Thus sometimes the pubic bones will be flattened backward,
near to the sacrum, so as to narrow the antero posterior diameter of
the upper strait; at other times one of the sides will be flattened
towards the other, as if crushed in, and thus diminish all the
diameters; and at other times one side will sink down lower than the
other, and thus effect similar changes in another way.
Public-domain text, read in full here on John Shaqi.
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