Licence: Public Domain Mark
Credit: Illustrations of difficult parturition. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
21/304 (page 5)
![bony constituents, as ascertained by Dr. Garrod were Carbonate of lime ] f 21*28 eartliy matter. 4*oo Phosphate of lime 16'4q Phosphate of magnesia J Fatty matters 20*35 1 _ _,. . , . \ 78° 72 animal matter, Gelatme yielding matter 58-37 J Had this patient proved five months pregnant, as was supposed, the induction of labour at once would have been the right treatment, since delivery at the full term could only have been completed by the Csesarean section. Other causes of a small pelvis are fractures, exostoses or bony growths from the internal surface of the pelvic bones or ligaments. The most remarkable case on record of this rare disease, is that reported by Dr. Haber, of Carlsruhe,2 in which instance the morbid mass filled up the whole cavity of the pelvis. Dislocations of the head of the thigh bones, on the dorsum of the ilium, have also been known to lead to diminution of the pelvic space. Scrofulous hip-joint disease also (Case CIV), and the obliquely distorted pelvis. With the characters of this last disease we have now, from Naegele's first description of it in his treatise,3 and from the descriptions and delineations in Moreau's, and some other obstetric works, become ac- quainted. It may be seen, that the symphisis pubis is 1 'Transactions of the Pathological Society,' 1846-47, pp. 105,, 121. Papers communicated by Dr. Ramsbotham and myself. 2 ' Library of Medicine,' vol. vi, p. 194, quoted by Dr. Rigby. 3 'Das Schrag Verengte Becken,' 4to, Mainz, 1839, with plates.](https://iiif.wellcomecollection.org/image/b21048617_0021.jp2/full/800%2C/0/default.jpg)