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
Generally there are reckoned _ten_ diameters, and they are represented
in the following Plate:--
[Illustration: PLATE XXV.
_Diameters of the Head._
1. The _Occipito Mental_, or from the back of the head to the chin, M,
O, Fig. 1, five inches.
2. The _Mento Bregmatic_, or from the chin to the anterior fontanelle
at the top of the head, M, O, Fig. 1, four inches.
3. The _Occipito Frontal_, or from the back of the head to the top of
the forehead, O, F, Fig. 1, four inches.
4. The _Trachelo Occipital_, or from the throat to the back of the
head, T, O, Fig. 1, four inches.
5. The _Sub Occipito Bregmatic_, or from the nape of the neck to the
top of the head, S, B, Fig. 1, three inches and a half.
6. The _Trachelo Bregmatic_, or from the top of the throat to the top
of the head, T, B, Fig. 1, about three inches and a half.
7. The _Trachelo Frontal_, or from the top of the throat to the top of
the forehead, T, F, Fig. 1, about three inches.
8. The _Sub Occipito Frontal_, or from the nape of the neck to the top
of the forehead, S, F, Fig. 1, about three inches.
9. The _Bi Parietal_, or across the head from one side to the other at
the middle of the parietal bones, the widest part, B, P, Fig. 2, three
inches and a quarter to three and a half.
10. The _Bi Temporal_, or across the head from one temporal bone to the
other, B, T, Fig. 2, about two inches and a half.]
The necessity for knowing these diameters will be obvious. It is only
by being acquainted with them, and with the straits of the Pelvis,
already described, that we can tell whether the child can pass or
not in certain positions, and how we must change its position, when
possible, to give relief.
On comparing the diameters of the head with those of the Pelvis, it
will be seen that some of them correspond in size while others do
not, so that in one position delivery can take place spontaneously,
while in another it will be difficult, and in some nearly impossible,
without assistance. Thus, for instance, if the head should present by
the occipito mental diameter, (O, M, Fig. 1,) it evidently could not
pass while in that position, because by this diameter it is five inches
in width, and the greatest diameter of the Pelvis is only about four
inches and a half. Its position must therefore be changed, and the
accoucheur must know how to change it with advantage.
ATTITUDE OF THE FŒTUS AT FULL TERM.
The attitude of the Fœtus is represented in the following Plate:--
[Illustration: PLATE XXVI.
_Attitude of the Fœtus._
The arms, it will be seen, are crossed on the breast, upon which the
chin is also bent; the thighs are close together, and brought against
the Abdomen; the legs are close bent on the Thighs, and the feet are
turned up against the front of the legs, the whole body being curved
forward.]
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