Overview

T HE prediction of the probability of the safe passage of the fetus through the birth canal is the primary function of the attendant at the start of labor. The means of determining the relative size of the fetal head and the internal diameters of the pelvis have therefore been the objects of deep concern down through the centuries. Manual techniques of clinical evaluation of cephalo-pelvic relations reached their peak a generation or two ago. A massive nomenclature existed with respect to pelvic planes and diam­ eters. To these were related various positions, attitudes, stations, and synclitisms of the fetal head. Measurements depended on digital efforts to explore the interior and on dubious implications drawn from external pelvimetry. The mechanisms of labor, as it might occur under the innumerable possible pelvic measure­ ments and fetal orientations, were the subject of hours of stu­ dent drilling and remained a lifelong preoccupation of the most seasoned specialist. The increasing safety of cesarean section somewhat miti­ gated the consequences of error. When a borderline internal conjugate was digitally determined, a trial labor might be per­ mitted with the assurance that an ultimate solution was in reserve. Mistakes of two kinds persisted, however. On the one hand, trial labor might be permitted to continue too long and, with penicillin not yet discovered, a delayed cesarean section v vi Foreword could be perilous. Alternately, to be on the safe side, many un­ necessary elective sections might be carried out.

Full Product Details

Author:   Charles Steer
Publisher:   Springer-Verlag New York Inc.
Imprint:   Springer-Verlag New York Inc.
Edition:   Softcover reprint of the original 1st ed. 1975
Dimensions:   Width: 15.50cm , Height: 0.80cm , Length: 23.50cm
Weight:   0.231kg
ISBN:  

9781475702705

ISBN 10:   1475702701
Pages:   127
Publication Date:   06 May 2012
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Manufactured on demand  
We will order this item for you from a manufactured on demand supplier.

Table of Contents

Section I General Morphology of the Pelvis.- Analysis of Pelvic Shape.- Sexual Differences in Pelves.- Classification of Pelves.- The Pure Types.- Mixed Types.- The Mid and Lower Pelvis.- Frequency of Occurrence of Pelvic Types.- Section II Clinical Examination of the Pelvis.- Technic of Examination.- Section III Mechanism of Labor.- The Fetus.- The Mechanism of Labor.- Relationship of Head Position to Pelvic Type at the Inlet.- Section IV Significance of Pelvic Shape in the Treatment of Pelvic Arrest.- Treatment of Arrest in the Transverse Position.- Treatment of Arrest in the Posterior Position.- Treatment of Arrest in the Anterior Position.- The Pelvic Outlet as Influenced by Lower Sacral Variations.- Section V Recognition of Disproportion.- X-ray Pelvimetry.- Disproportion at the Inlet.- Disproportion at the Midpelvis.- Miscellaneous Types of Disproportion.- Breech Presentation.- Value of the X-ray Data.- References.

Reviews

Author Information

Tab Content 6

Author Website:  

Customer Reviews

Recent Reviews

No review item found!

Add your own review!

Countries Available

All regions