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
When we come to describe the form and size of the fœtal child's head,
it will be found that its diameters correspond very nearly with those
of the pelvic straits through which it has to pass, so that ordinarily
labor presents no serious difficulty. If the head be larger than
natural, from any cause, or if the Pelvis be too small, or deformed,
this mutual adaptation does not exist, and delivery of course becomes
difficult, or dangerous, and sometimes impossible. The only obstacle
therefore, which can seriously impede the expulsion of the fœtus,
or prevent it altogether, is this want of conformity, in size and
shape, between its head and the bones of the Pelvis. The _soft parts_
may retard labor considerably, by being contracted or rigid, but can
generally be made to give way, either by the efforts of nature or
by manual assistance; and the fœtal head can be reduced in size if
necessary; but insufficient size, or faulty form, in the _bones_, is
irremediable.
The various causes which produce deformity, or imperfect development,
in the Pelvis, and unnatural growth of the child's head, will be stated
in a subsequent section. For the present, we have only to do with both
in the normal state.
The importance of an accurate knowledge of the structure of the
Pelvis, and of the changes which may be induced in it, will now be
obvious; neither the theory nor the practice of Midwifery can in fact
be understood without such knowledge. It is also frequently of the
first importance to know, _previous to marriage_, whether the pelvis
of a young person is so formed that delivery can be safely effected!
Inattention to this has sacrificed the lives of many, and caused others
to live for years suffering and helpless. In another place we shall
give some plain rules and directions by which this important point may
be determined.
_The floor of the Pelvis._--The soft parts at the bottom of the basin
of the Pelvis, consisting of the perineum and various muscles, are
called the floor of the Pelvis--the only passage through which is by
the Vulva, or mouth of the Vagina. As the head of the child descends
to the bottom of the basin, it presses upon this floor, and gradually
distends it, until the Vulva is sufficiently enlarged. This delay is
advantageous, for if the passage was always large enough, or increased
in size without any difficulty, the child would pass too suddenly, and
much mischief might often result from its sudden expulsion--such as
pulling down of the womb, flooding, and the falling of the child upon
the ground.
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