Obstetric Diagnosis Research Articles

Methods of obstetric diagnosis and treatment at the Rotunda Hospital in 1909, compared with 1929

Methods of obstetric diagnosis and treatment at the Rotunda Hospital in 1909, compared with 1929

Methods of Obstetric Diagnosis and Treatment at the Rotunda Hospital in 1909, Compared with 1929

Methods of Obstetric Diagnosis and Treatment at the Rotunda Hospital in 1909, Compared with 1929

Roentgenography as an aid in obstetrical diagnosis

Roentgenography has proved its value in obstetrics principally for the following diagnostic purposes: 1. 1. For the positive diagnosis of pregnancy in obscure cases. This can be accomplished by the fourteenth week, sometimes earlier. In some of the author's cases, the clinical findings strongly suggested uterine fibromyomata and only the roentgenogram saved the patient from an unnecessary hysterectomy. 2. 2. For the recognition of twins. Particularly in obese patients, there may be difficulty in hearing two separate fetal hearts or palpating a multiplicity of fetal parts; vice versa, the same fetal heart may sometimes be heard clearly in widely separated locations, leading to an erroneous diagnosis of twin pregnancy. In such cases, roentgenography gives a definite answer. 3. 3. For differentiation between pregnancy and tumors. Here roentgenography supplements findings by the Aschheim-Zondek test. 4. 4. For diagnosis of tubal and ovarian pregnancy. 5. 5. For revealing the presence of a fetal monster. The recognition of anencephalus and other forms of fetal monstrosity is greatly facilitated by x-ray study. 6. 6. For giving information as to the presentation and position of the fetus. As shown by several of the author's films, the exact presentation and position are revealed with far greater accuracy than can be determined by physical examination alone. This also obviates the need of a pelvic examination. 7. 7. For demonstrating the mechanism of labor. 8. 8. For supplying a more accurate method of pelvimetry than any heretofore proposed and furnishing a means of cephalometry in utero. This subject will be discussed in a subsequent paper appearing in a future issue of The American Journal of Surgery.

The roentgen ray as an adjunct in obstetric diagnosis

The roentgen ray as an adjunct in obstetric diagnosis

Studies in the embryology of bone development

There are several possibilities for use of the data given here. 1.1. The observer can have an open view of the study of the progress of the development of bone in the fetus.2.2. The relationship of the bones to each other and to the rest of the body can be studied in true anatomical position.3.3. The results can be used in obstetrics especially in roentgen ray work, the stained specimens acting as controls as far as detail and number of calcification centers are concerned, as an aid in judging the size. The truest picture of fetal changes is obtained by a detailed study of the stained specimen, especially in the earlier months. Roentgen pictures of the fetus taken at the same period show a marked lack of detail when compared with the stained specimen. The possibilities in this are great, and a decided increase in efficiency in obstetrical diagnosis in the early months of pregnancy may be obtained by careful comparisons of the roentgen ray plates with the stained specimens, for the purpose of so perfecting the roentgen ray technic that it may bring out details which are now only observable in the stained specimens.In the special work, roentgen rays of specimens of all ages were superimposed over the roentgen rays of the normal female pelvis, and the results are clean cut. One may argue that with the fetus in utero the conditions are different and there is greater body resistance with greater chance of distortion and absorption of the roentgen rays. There is some truth to this argument, but the results had from ordinary roentgen rays, and the roentgen rays of the fetuses when studied out carefully with regard to the various factors of distance, time and milliamperage, compared with the stained preparations, show that the earlier roentgen ray diagnosis can be made more certain.4.4. Earlier determination of bone pathologies of the fetus in utero, especially of luetic osteochondritis when lues is suspected, are made possible even though clinical data are missing.My especial gratitude is due Dr. Adam M. Miller, Head of the Department of Anatomy at the Long Island College Hospital, who made available to me the facilities for carrying on this work and also to Dr. Bell, Head of the Department of Radiography, through whose courtesy and cooperation the photographs and roentgen ray studies appearing in this article were made possible.

Roentgenographic examination of the female pelvic organs: Use of opaque media for intrauterine injections and formation of pneumoperitoneum for gynecologic and obstetric diagnosis (fourth communication)

Roentgenographic examination of the female pelvic organs: Use of opaque media for intrauterine injections and formation of pneumoperitoneum for gynecologic and obstetric diagnosis (fourth communication)

Recent Literature Atlas and Epitome of Obstetric Diagnosis and Treatment . By Dr. O. Shaeffer of Heidelberg. From the Second Revised German Edition. Edited by J. Clifton Edgar, M.D., Professor of Obstetrics and Clinical Midwifery, Cornell University Medical School. pp. 317, with 122 colored figures on 56 plates, 38 other illustrations. Philadelphia and London: W. B. Saunders & Co. 1901.

Recent Literature Atlas and Epitome of Obstetric Diagnosis and Treatment . By Dr. O. Shaeffer of Heidelberg. From the Second Revised German Edition. Edited by J. Clifton Edgar, M.D., Professor of Obstetrics and Clinical Midwifery, Cornell University Medical School. pp. 317, with 122 colored figures on 56 plates, 38 other illustrations. Philadelphia and London: W. B. Saunders & Co. 1901.

Recent Literature Atlas and Epitome of Obstetric Diagnosis and Treatment . By Dr. O. Shaeffer of Heidelberg. From the Second Revised German Edition. Edited by J. Clifton Edgar, M.D., Professor of Obstetrics and Clinical Midwifery, Cornell University Medical School. pp. 317, with 122 colored figures on 56 plates, 38 other illustrations. Philadelphia and London: W. B. Saunders & Co. 1901.

Recent Literature Atlas and Epitome of Obstetric Diagnosis and Treatment . By Dr. O. Shaeffer of Heidelberg. From the Second Revised German Edition. Edited by J. Clifton Edgar, M.D., Professor of Obstetrics and Clinical Midwifery, Cornell University Medical School. pp. 317, with 122 colored figures on 56 plates, 38 other illustrations. Philadelphia and London: W. B. Saunders & Co. 1901.

Atlas and Epitome of Obstetric Diagnosis and Treatment.

Atlas and Epitome of Obstetric Diagnosis and Treatment.

Recent Literature Physical Diagnosis in Obstetrics. A Guide in Antepartum, Partum and Postpartum Examination for the Use of Physicians and Undergraduates . By Edward A. Ayers, M.D. Professor of Obstetrics in the New York Polyclinic; Attending Physician to the Mothers' and Babies' Hospital. Pages 283, and 67 illustrations. New York: E. B. Treat & Co. 1901.

Recent Literature Physical Diagnosis in Obstetrics. A Guide in Antepartum, Partum and Postpartum Examination for the Use of Physicians and Undergraduates . By Edward A. Ayers, M.D. Professor of Obstetrics in the New York Polyclinic; Attending Physician to the Mothers' and Babies' Hospital. Pages 283, and 67 illustrations. New York: E. B. Treat & Co. 1901.

Physical Diagnosis in Obstetrics.

Physical Diagnosis in Obstetrics.

Recent Literature Anatomical Atlas of Obstetric Diagnosis and Treatment . By Oscar Schaeffer, M.D. With 145 Illustrations. New York: William Wood & Co. 1896.

Recent Literature Anatomical Atlas of Obstetric Diagnosis and Treatment . By Oscar Schaeffer, M.D. With 145 Illustrations. New York: William Wood & Co. 1896.

Anatomical Atlas of Obstetric Diagnosis and Treatment.

Anatomical Atlas of Obstetric Diagnosis and Treatment.