Abstract
It has been said that birth is the interruption of a "nice quiet life." As a part of the effort to make this transition as smooth and as free of hazards as possible, it seems appropriate to discuss the roentgenologic diagnosis of some of the less obvious soft tissue abnormalities which, in the most insidious manner, seem to contrive to make this short transition longer and more difficult for all concerned. SUMMARY The foregoing are a few of the conditions whose presence is to be suspected in cases in which there is persistent failure of the presenting part to engage, after bony disproportion has been excluded, and when adequate expulsion force of the uterus is present. The roentgenologist is obligated to supplement negative pelvimetry studies with soft tissue studies which can be made with minimal added radiation exposure to mother and child. Close cooperation between obstetrician and roentgenologist is essential in every case to properly evaluate slight variations from the normal. Neither should be content with the information revealed by pelvic measurements alone. A roentgenologic examination must be a consultation in the true sense of the word if the patient is to receive maximum benefit. Mere compliance with a request for a technical procedure, pelvic measurement, is not enough.
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