Birth and Human Evolution: Anatomical and Obstetrical Mechanics in Primates

Birth and Human Evolution: Anatomical and Obstetrical Mechanics in Primates

Birth and Human Evolution: Anatomical and Obstetrical Mechanics in Primates

Birth and Human Evolution: Anatomical and Obstetrical Mechanics in Primates

Synopsis

This is a careful study of obstetrical mechanics in monkeys, apes, and extinct hominids in order to understand the present crisis in human reproduction. Current obstetrical problems have an anthropological origin. Cesarean section, almost unknown at the beginning of the century, is now considered necessary in more than 25% of deliveries. By studying the evolution of anatomical structures and the mode of delivery among other primates, strong reasons are apparent for the present crisis in human labor and delivery. This unique study points the way to further evolution of the human birth process.

Excerpt

Obstetrics is an eclectic specialty in that its practice is derived in large part from many other disciplines. Ultrasound is now an integral part of obstetric and gynecologic practice because of the development by physicists of the technology that permits noninvasive, accurate visualization. Modern clinical strategies to treat pelvic infections are based on substantial developments in microbiology and pharmacology. Clinical ethical insights that are now a daily part of obstetrics and gynecology have been based on a foundation provided by philosophy. It is apparent, when one considers these three examples of ultrasound, infectious disease, and ethics, that clinical obstetricians are required to integrate the knowledge gained from the basic discipline into day-to-day clinical practice.

M. Maurice Abitbol, with this work on Birth and Human Evolution, has made such an invaluable contribution to obstetrics and gynecology by applying knowledge learned from the social science of anthropology to the birth process. Dr. Abitbol received his training as an anthropologist before his training in obstetrics and gynecology. He has been an important contributor to both the obstetric and anthropologic literature during his long and distinguished career.

Birth and Human Evolution provides truly original and clinically useful insights into normal and abnormal labor and delivery. Throughout the book, the . . .

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