Difficult labour : a guide to its management for students and practitioners / by G. Ernest Herman.

  • Herman, G. Ernest (George Ernest), 1849-1914.
Date:
1906
Catalogue details

Licence: In copyright

Credit: Difficult labour : a guide to its management for students and practitioners / by G. Ernest Herman. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    wliicli tlie head is not liable when it comes in advance. The squamous part of the temporal bone may be driven underneath the pa- rietal bone. The squamous suture or the lambdoid suture may be torn through. The dinting of the parietal bone is mostly on its eminence. The two parietal bones are pressed together, so that they meet at a more acute angle than in the natural shape of the head (Fig. 71). (This may happen if the head comes first, and, which in the flat pelvis is rare, enters without any obliquity at all.) The basilar portion of the occipital bone may be torn from the squamous portion. 5. Hsemorrhage into, or on to, the brain.— This has already been referred to, and its production ex- plained. It is the common cause of stillbirth after \iiffi- cult or instrumental delivery. The hsemorrhage is usually into the meninges at the base of the brain ; less often over the hemispheres, or into the ven- tricles : very rarely into the brain substance.* Dangers to the mother. _ Contracted pelvis brings with it a greater risk of ma- ternal ilbiess and death after * Soe Spencer, Obst. Traus. Fig. 70.—Showing Mark made by Promon- tory in Delivery of the after-coming Head. (^AJler Kustner.) Fi. 71.—Showing Ch.mgo in ° Sliape of Head produced by Traction with Rase iu advance. (AfUr Galabin.) vol. xxxiiL