The comparative rarity of contracted pelvis outside of large centers of population is frequently the cause of lack of routine methods of examination of obstetric patients by the general practitioner. In the south, extreme deformities are exceedingly rare, and slight abnormalities may easily exist undetected. Many physicians in this part of the country state that they have never seen a case in which they considered symphyseotomy or a Cesarean section necessary or indicated.
The following case is reported as illustrative of these conditions and also because of the rarity of fracture of the pelvis occurring in forceps delivery:
—Mrs. B., aged 20, was a well-nourished primipara, of average height and weight, and with a good family history.
—Labor pains commenced Sept. 27, 1908, at September 29, at 9 p. m., I saw her in consultation with Drs. W. DeLay and W. P. Harbin. Axis-traction forceps had been applied