Case of delivery through a scoliotic pelvis / by Francis Henry Champneys.

  • Champneys, Francis Henry, Sir, 1848-1930.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Case of delivery through a scoliotic pelvis / by Francis Henry Champneys. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    o bitemporal diameter of the child immediately after birth was 2J inches with very moderate pressure. Bemarhs.—The fact that pulsation in the cord had ceased while the foetal heart was still beating fairly, makes it probablet hat the placenta was considerably detached by the time that the hand was introduced, and that the enfeeblement of the pulsations of the cord, which indicated extraction, was due to its pro- gressive detachment, and consequent loss of function. This is rendered more probable by the contracted state of the uterus found by the hand when introduced. The cord was prolapsed on July 23d, 9 p.m., and delivery took place July 24th, 5 p.m., or twenty hours after its first prolapse. The conjugata vera was one- quarter inch larger than the other measurements warranted. This was due to the term in the calculation which is always unknown, viz., the angle formed by a line drawn from the promontory to the posterior surface of the pubes. Whether the descent of the head, which followed the usual course of heads in flat pelves, was really influenced by the flattening is doubtful, when we remember that the conjugata vera was 3J, while the bitemporal was 2J; still we must remember that the uterus was never retracted over the head, which fitted the strait the more nearly for the double thickness of uterine walls.