Difficult Labour: a Guide to Its Management for Students And Practitioners
Difficult Labour: a Guide to Its Management for Students And Practitioners
G Ernest George Ernest Herman
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The pel- vic bones are small, so that the conju- gate diameter is shortened, though not so much as the transverse (Fig. 60). The sacral promon- tory is higher up, so that the diagonal conjugate differs more from the true conjugate than in the normal pelvis (Fig. 61). The sacrum is not quite so much curved from above down- wards, but it is slightly more concave from side to side. The distances between the iliac crests and anterior superior iliac spines are less than in the normal pelvis, but the... difference between them is as great, or greater. The posterior superior iliac spines are a little farther apart, and the posterior sacral spines often project a little above their level. The external conjugate is shortened. Causation. We know nothing of the causes of the small round pelvis. It may be found in women in every other respect perfectly developed. Fig. 59. Sagittal Section of Small Round Pelvis. (After Pinard. ) AB, True conjugate; AC, diagonal conjugate c D, antero-posterior diameter of outlet.
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