Health and Disease in Relation to Marriage and the Married State (Volume 1) (Paperback)

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1904 edition. Excerpt: ...it has healed or not. In a tuberculous disease of the vertebrae not yet healed up, pregnancy would, like in all other tuberculous affections, eventually lead to untoward consequences. If, however, the spondylitis has healed up and the contraction of the pelvis is inconsiderable, there is no ground for objecting to marriage. Through the narrowing of the abdominal space in pregnancy a pendulous abdomen is frequently formed. This as well as the contracted form of the abdominal space must be held accountable for the oft-occurring occipito-posterior positions at labour. Similarly in low-seated gibbus the upper part Which hangs, So to speak, roof-like over the pelvic inlet, occasions retroversion and retroflexion of the uterus. To this reference has already been made when discussing the general pr0gnoSlS Of contracted pelvis. Pr0gnosis.----The prognosis of labour depends upon the eventual contraction of the pelvic outlet. In high-seated kyphosis the inlet of the pelvis is widened, without material diminu tion of the outlet. In strongly marked pelvic contraction the prognosis is unfavourable for both mother and child unless Caasarian section is performed. In severe cases Cmsarian section has hitherto been recorded 25 times, and symphysiotomy 4. times. VVhere the oblique diameter is diminished to below 6 cm. only the former can claim consideration. In very low situated lumbo-sacral or sacral spondylitis the so-called pelvis obtecta is formed. It presents the same prognostical conditions as the spondylitic pelvis. 6. Jpondylolistbesis. Etiology.---The spondylolisthetic pelvis is caused by the dislocation of the 5th lumbar vertebra. Proportionately with the degree of dislocation, a narrowing of the pelvis ensues in the antero-posterior diameter. As...