A compend of domestic midwifery : for the use of female practitioners, being an appendix to Buchan's Domestic medicine.

  • Shecut, John L. E. W. (John Linnaeus Edward Whitridge), 1770-1836.
Date:
1815
Catalogue details

Licence: Public Domain Mark

Credit: A compend of domestic midwifery : for the use of female practitioners, being an appendix to Buchan's Domestic medicine. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    found dimrnished, the angle of the pubes becomes still more acute, which in an equal degree is found lo increase the obstruction of ihe passing of the Jams. The os coccygis plate 3d C is sometimes found curved up like tt hook, in »hich case it is natural to suppo-e that it would obstruct the deliver*, but it has been assert d ihat this disunion never ob- s rues the progress of labour, for when it exists it is always in an equal degree turned to one side.— The distortions of the os Sacrum occasioned by the rickets has been already mentioned, these may be occasioned by other discuses, by which the cavity of the pelvis becomes to be very materially di- minished.—The tuberosities of the os ischium plate 2d G. G. may also ue too near each other, and consequently in an equal degree di- minish the apDerture or outlet of the fielvis The vertebra of the loins plae 3d A are sometimes so protrud- ed forwarcis as to diminish the cavry of the fielvis; sometimes the distortion is confined to he brim and larger fielvis which is difficult to be discovered till the labour is someway advanced, when the coni- cal point of the head descends sufficiently to be discovered by the touch: and the bones of the Sutures are found to lap considerably more than common over each other and leads you to suspect this species of distortion—and which frequently is attended with danger, for though the woman may be delivered naturally, it happens some** times that the soft parts which line the fielvis being subjected to a strong pressure, even to a kind of contusion, inflame, become pain- ful and sometimes terminate in suppuration and gangrene: on the other side the bones of the chtlds head riding one over the other, or being fractured nd fiepi ss>. d, compress and wound the brain, woich causes it to become plethoric and produces internal extrava- Sct ions, which are generally mortal.— The*e i re 'he principal or most common distortions to which the female fielvis is subjected, and when in a very great degree the ex- pulsion of the Jcetus is reduced to an impossible ev'nt for nature to accomplish alone, here then the assistance of art is actually necessary> and the manual operation must be resorted to, either upon the foetus by lessening the head, or upon the mother by incision, as before mentioned.— We shall conclude this section wi'h the following remarks. A female naturally v.ell formed and who has borne many children with ease and safety; may afterwards have the fielvis become distorted by accident or disease* as fracture, softening of the bones &c. These db.tortions of the fielvis may generali) b- judged of by external ap- pearances, whicti ho a ever is only a probabie decision—viz 'loo great a curvature of the spine or vertebra of the loins inward. The legs and thighs cro<k<d and shortened, the ravel appear- ing at a greater distance fom the head th-n the feei; and the woman has a shuffling walk, bringing loiward first one hip and then the other, under these cucumstances there is very great reason to suspect, the Pelvis .q tally shat s me distortion Although the foregoing ma* be cor.tct in the general >et it is not so universally, for some wonen with all the external marks just now described ha,ve been found *viin a toieiabjy wth iaimed fielvis: and have, though