On the management of difficult labour in some cases of abnormal pelvis / by James Armstrong.

  • Armstrong, James.
Date:
[1888?]
Catalogue details

Licence: Public Domain Mark

Credit: On the management of difficult labour in some cases of abnormal pelvis / by James Armstrong. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    / ON THE MANAGEMENT OF DIFFICULT LABOUR IN SOME CASES OF ABNORMAL PELVIS. By James Armstrong, M.B. Edin., Honorary Physician to the Liverpool Lying-in Hospital. Mr President and Gentlemen,—I propose to lay before you short notes on the management of difficult labour in some cases of abnormal pelvis, and offer a few practical remarks thereon. I will allude to cases in which the natural effort fails to effect delivery, and in which the conjugate at the brim is not less than 2\ inches. The first two are cases in which I succeeded with axis-traction forceps after failure with the long forceps. Case I.— Uniformly Contracted Pelvis.—Mrs B., set. 29, a multipara, had been in labour for fifteen hours. Instruments were used in her previous labours. Having failed to deliver the case, her medical attendant sent for me. On internal examination with the hand, which I think is best for all practical purposes, I found the pelvis generally contracted. All the diameters were relatively smaller than normal. The conjugate was 3£ inches, the vertex presented, and the head was arrested in the brim. I also tried the long forceps, and failed. I then used Tarnier’s axis-traction forceps, with which I delivered a living male child in about three-quarters of an hour. The mother made a good recovery. The following is a somewhat similar case ; only it occurred in a primipara:— Case II.—Mrs T., set. 23, had been in labour for twenty hours. Her medical attendant, failing to deliver her, sent for me. I