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The term, obstetrical dilemma, was coined in 1960, by Sherwood Larned Washburn, a prominent early American physical anthropologist, in order to describe the evolutionary development of the human pelvis and its relation to childbirth and pregnancy in hominids and non-human primates. [6]
Pelvimetry is the measurement of the female pelvis. [1] It can theoretically identify cephalo-pelvic disproportion, which is when the capacity of the pelvis is inadequate to allow the fetus to negotiate the birth canal. However, clinical evidence indicate that all pregnant women should be allowed a trial of labor regardless of pelvimetry results.
The same human pelvis, front imaged by X-ray (top), magnetic resonance imaging (middle), and 3-dimensional computed tomography (bottom). The pelvis (pl.: pelves or pelvises) is the lower part of an anatomical trunk, [1] between the abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton [2] (sometimes also called bony pelvis or pelvic skeleton).
[2] [3] In their edited collection, Childbirth and Authoritative Knowledge: Cross-Cultural Perspectives, Robbie E. Davis-Floyd and Carolyn F. Sargent praised the book for focusing "anthropological attention on childbirth as a subject worthy of in-depth ethnographic fieldwork and cross-cultural comparison, and that inspired many others to enter ...
Birth as an American Rite of Passage is a book written by Robbie Davis-Floyd and published in 1992. It combines anthropology and first-hand accounts from mothers and doctors into a critical analysis of childbirth in America from a feminist perspective.
Childbirth can be an intense event and strong emotions, both positive and negative, can be brought to the surface. Abnormal and persistent fear of childbirth is known as tokophobia. The prevalence of fear of childbirth around the world ranges between 4–25%, with 3–7% of pregnant women having clinical fear of childbirth.
The pelvis shape in women hasn't evolved as quickly as the human (and baby) head size has increased. Posture has changed from quadrupedal to bipedal. In particular, women with android or anthropoid pelvis shape have a tighter birth canal, leading to increased pain during delivery (and increased risk to the mother and infant).
Baudelocque is credited for correcting errors regarding childbirth and wrote a popular book on midwifery. He refined André Levret's (1703–1780) "pelvic forceps" and constructed a pelvimeter for use in obstetrics. His pelvimeter were anthropometric calipers used to measure external pelvic dimensions.