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Moloy's Evaluation of the Pelvis in Obstetrics (Paperback, Softcover reprint of the original 1st ed. 1975)
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Moloy's Evaluation of the Pelvis in Obstetrics (Paperback, Softcover reprint of the original 1st ed. 1975)
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T HE prediction of the probability of the safe passage of the fetus
through the birth canal is the primary function of the attendant at
the start of labor. The means of determining the relative size of
the fetal head and the internal diameters of the pelvis have
therefore been the objects of deep concern down through the
centuries. Manual techniques of clinical evaluation of
cephalo-pelvic relations reached their peak a generation or two
ago. A massive nomenclature existed with respect to pelvic planes
and diam eters. To these were related various positions, attitudes,
stations, and synclitisms of the fetal head. Measurements depended
on digital efforts to explore the interior and on dubious
implications drawn from external pelvimetry. The mechanisms of
labor, as it might occur under the innumerable possible pelvic
measure ments and fetal orientations, were the subject of hours of
stu dent drilling and remained a lifelong preoccupation of the most
seasoned specialist. The increasing safety of cesarean section
somewhat miti gated the consequences of error. When a borderline
internal conjugate was digitally determined, a trial labor might be
per mitted with the assurance that an ultimate solution was in
reserve. Mistakes of two kinds persisted, however. On the one hand,
trial labor might be permitted to continue too long and, with
penicillin not yet discovered, a delayed cesarean section v vi
Foreword could be perilous. Alternately, to be on the safe side,
many un necessary elective sections might be carried out.
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