Syllabus of lectures on midwifery, and the diseases of women and children / by G. Oakley Heming.

  • Heming, George Oakley.
Date:
[between 1830 and 1839?]
Catalogue details

Licence: Public Domain Mark

Credit: Syllabus of lectures on midwifery, and the diseases of women and children / by G. Oakley Heming. 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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    Pelvis collectively — form — distinction between the male and female pelvis—division into 1, the false, and 2, the true pelvis—use, measurement, boundaries of the former;—true pelvis—depth at various parts—a curved canal —inclination of the pelvis upon the spine—inlet or brim ; plane of the brim forms an obtuse angle with the vertebral column—form of the brim—diameters—axis. Cavity—form of; lateral inclined planes—outlet—form—diameters—axis —a knowledge of these absolutely necessary to the accouch- eur—observations on the introductions of the forceps. Soft parts connected with the interior and apertures OF the Pelvis—description alone inadequate —1, at the brim—psoge, and large blood-vessels;—diminish the extent of its transverse diameter ;—2, in its cavity— pyriformis, obturator internus, pelvic fascia;—3, the parts closing the outlet consist of two layers, the upper convex, the lower concave. Fcetal Skull — form — sutures —fontanelles— dia- meters. Deformity of the Pelvis—usually takes place at the brim, and in the direction of the conjugate diameter—may be confined to one side only—important to know whether both the brim and outlet be affected, or only one of these— how to ascertain defective proportions in the living subject— means of ascertaining the extent of the conjugate diameter— various instruments—that of Aitkin, Coutouli, Baudelocque ; —how to measure the transverse and oblique diameters at the brim, and the long and short diameters at the outlet. Rickets—the most frequent cause—this disease first de- scribed by Glisson ;—a disease of infancy—owing to the want of the due secretion of phosphate of lime;—Dr. Davy’s opinion—curable—symptoms—treatment. Mollites ossium— sometimes the cause of the w’orst forms of deformity—caused by absorption of phosphate of lime ;—a disease of adult age— generally makes its attacks after child-bearing—incurable; symptoms—this deformity is said to be different from that produced by rickets. Dr. Hull’s opinion—in rickets, the first labour is as difficult as subsequent ones—the reverse is observed in Mollites ossium—this an important fact as re-