By Joseph J. Apuzzio, Anthony M. Vintzileos, Vincenzo Berghella, Jesus R. Alvarez-Perez
The re-creation of this authoritative assessment of the medical method of diagnostic and healing obstetric, maternal-fetal and perinatal tactics might be welcomed through all execs interested in childbirth as an important contribution to the perform of maternal-fetal drugs and surgical obstetrics.
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39. Pereira A de S. A basis for sympathectomy for cancer of the cervix uteri. Arch Surg 1946; 52: 260–85. 40. Meigs JV. Excision of the superior hypogastric plexus (presacral nerve) for primary dysmenorrhea. Surg Gynecol Obstet 1939; 68: 723–32. 41. Skinner D. The pelvic ureter. J R Soc Med 1978; 71: 541. 42. Brundenell M. The pelvic ureter. J R Soc Med 1977; 70: 188–90. 43. Hollinshead WH. Anatomy for Surgeons. The Thorax, Abdomen, Pelvis (3rd edition), Vol. 2. New York, NY: Harper Collins, 1982.
The two lips are without hairs and are in contact with each other. There is wide variation in size and shape of normal labia minora. Posteriorly, the labia minora may be united by a small fold of the skin called the frenulum of the labia. 1 Vulva showing mons pubis, labia majora, labia minora, vestibule, glans clitoris, and the opening of the greater vestibular glands. Anteriorly, each labium minus divides into a lateral and a medial part. The lateral part joins the corresponding one from the opposite side to form the prepuce of the clitoris.
CLINICAL PELVIMETRY Due to the potential hazards associated with x-rays, radiologic examinations have little place in obstetric practice today. 5–7 All the clinician needs is a pair of gloves and awareness of a few measurements. It is important to measure from the angle of the thumb to the third finger for the determination of the diagonal conjugate. The measurement should be made in centimeters. 1 The width of the fist of the examining hand should also be measured in centimeters. This measurement will assist in determining the bituberous diameter.