The principles and practice of midwifery : with some of the diseases of women.

  • Milne, Alexander
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: The principles and practice of midwifery : with some of the diseases of women. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    46/680 (page 14)
    knowledge of these is useful in regard to the diagnosis of deformities, as external abnormal deviations gene- rally imply internal ones. Idere are Naegele’s :— External Measurements of the Pelvis. 1. From the tuber ischii of one side, to the post.-super. sj)inous process of the opposite side, is 6 in. 6 lines. •J. From the anter. super, spine of the ilium of one side, to the po.st. super, spine of the other side, 7 in. 10 lines. 3. From the sphious process of the last lumbar vertebra, to the ant. super, spine of ilium of either side, 6 in. 8 lines. 4. I'^rom the great trochanter of one side, to the post, super. spine of the ilium of the opposite side, 8 in. 2 lines. From the centre of the infer, edge of the symph. pubis to the post, super, spine of ilium of either side, (i in. 4 lines. 123. How to Measure the Pelvis.—Pelvimeters.— T’he eye may detect a marked external deformity. We may contrast the width of the hips with that of the shoulders, the particular inclination of the ]ielvis, and the curve of the sacrum, and thus obtain a fair esti- mate of the make of tlie female—the symmetry, or want of it, of the j^aids; but a more satisfactory method is by the employment of curved calipers. The internal measurement, which is the most impor- tant, LS also the most difficult to accomjilish. Various pelvimeters have been invented. There are Baude- locque’s, Coutouly’s, Chaussier’s, (fee.; but it is pretty widely agreed upon that the best pelvimeter is the human hand. I for one always feel that if i)ossible we should avoid wood or steel; that is, if any piece of obstetric work can be thoroughly done by the hand, it is to be preferred. 24. The Hand the best Pelvimeter.—Instrumental pelvimeters cannot be employed without occasioning more or less pain to the female ; besides, they do not give us such correct and certain results. The finger, or as it is termed by the French, the toucher, is there- fore to be preferred. The be,st method is this: Carry two'fingers of the left hand Avithin the vagina; place