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January 26, 1952

Clinical and Roentgenologic Evaluation of the Pelvis in Obstetrics

JAMA. 1952;148(4):322. doi:10.1001/jama.1952.02930040078026

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This monograph, by one of the well-known team of Caldwell, Moloy and D'Esopo, who made a highly significant contribution to the subject of pelvic morphology in women, is well worth reading. The author discusses the following subjects: general morphology of the pelvis, clinical examination of the pelvis, the fetus, the mechanism of labor, forceps operations, breech delivery, version and breech extration, roentgenologic technique, the roentgenological report, and methods for quantitative estimation of cephalopelvic disproportion. The leading textbooks on obstetrics now point out how fallacious clinical estimation of pelvic size and morphology can be. On the other hand, roentgenography will reveal with accuracy the size and shape of the pelvis; in addition, several techniques have been developed that measure the degree of cephalopelvic disproportion with a fair degree of accuracy. Of course, such techniques must usually be coupled with a test of labor to see how much the uterine contractions and

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