. An American text-book of obstetrics. For practitioners and students. Fig. 366.—Dipygus (Wells). Fig. 367.—Dipygus parasiticus. diameter of 9 centimeters. The increase in size of successive children mustbe borne in mind in cases of contracted pelvis. The first two or three infants DYSTOCIA. Plat*: 37.. 1. Diprosopus (Hirst and Piersol). 2. Diprosopus (Fleming). 3. Dicephalus. 4. Large cystic kidneys(Fussell). 5. Largo meningocele and spina bifida i Hirst and Piersol). 6. Congenital cystic elephantiasis(Wilson). 7. Thoracopagus (Hirst and Piersol). 8. Distended bladder (Ahlfeld). DYSTOCIA. 563
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. An American text-book of obstetrics. For practitioners and students. Fig. 366.—Dipygus (Wells). Fig. 367.—Dipygus parasiticus. diameter of 9 centimeters. The increase in size of successive children mustbe borne in mind in cases of contracted pelvis. The first two or three infants DYSTOCIA. Plat*: 37.. 1. Diprosopus (Hirst and Piersol). 2. Diprosopus (Fleming). 3. Dicephalus. 4. Large cystic kidneys(Fussell). 5. Largo meningocele and spina bifida i Hirst and Piersol). 6. Congenital cystic elephantiasis(Wilson). 7. Thoracopagus (Hirst and Piersol). 8. Distended bladder (Ahlfeld). DYSTOCIA. 563 may be delivered spontaneously, but the larger size of the fourth or fifth maymake natural delivery impossible.* Overgrowth of the fetus is the most difficult condition in obstetric practiceto diagnosticate with precision. A careful palpation of the head and bodyand an attempt to push the former into the pelvic inlet may give one anapproximate idea of the relative size of fetal body and pelvic canal, but as amatter of fact the large size of the fetus is usually discovered in practice only