Moloy's Evaluation of the Pelvis in Obstetrics

Section I General Morphology of the Pelvis.- Analysis of Pelvic Shape.- Sexual Differences in Pelves.- Classification of Pelves.- The Pure Types.- Gynecoid Type.- Android Type.- Anthropoid Type.- Platypelloid Type.- Mixed Types.- The Mid and Lower Pelvis.- The Subpubic Arch.- The Side Walls.- The Ischial Spines.- The Sacrum.- Pelvic Depth.- The Sacrosciatic Notch.- Pelvic Size.- Pathologic Pelves.- Frequency of Occurrence of Pelvic Types.- Section II Clinical Examination of the Pelvis.- Technic of Examination.- Section III Mechanism of Labor.- The Fetus.- Attitude.- Lie.- Presentation.- Cephalic Presentations.- Breech Presentations.- Presenting Part.- Obstetrical Position.- Characteristics of the Fetal Head.- Factors Which Influence Obstetrical Position.- The Mechanism of Labor.- Relationship of Head Position to Pelvic Type at the Inlet.- Section IV Significance of Pelvic Shape in the Treatment of Pelvic Arrest.- Treatment of Arrest in the Transverse Position.- Midpelvic Arrest.-Low Medium Arrest in the Transverse Position.- Summary of Transverse Arrest of the Head.- Treatment of Arrest in the Posterior Position.- Midpelvic Arrest.- Low Midpelvic Arrest in the Posterior Position.- Summary of Occipitoposterior Arrest of the Head....- Treatment of Arrest in the Anterior Position.- The Pelvic Outlet as Influenced by Lower Sacral Variations.- Section V Recognition of Disproportion.- X-ray Pelvimetry.- Technical Considerations.- Details of Technic.- Method of Reading Films.- Estimation of Disproportion.- Interpretation of X-ray Findings.- Correlation of X-ray Prognosis with Outcome of Labor.- Disproportion at the Inlet.- Disproportion at the Midpelvis.- The Difference at the Spines.- The Distance From the Coronal Plane Through the Spines to the Tip of the Sacrum (CP?S).- The Subpubic Arch.- The Midpelvis as a Whole.- Miscellaneous Types of Disproportion.- Breech Presentation.- Value of the X-ray Data.- References.