A manual of obstetrics . Fig. 39. -Second method of eliciting Hegars signof pregnancy (Sonntag). 90 A MANUAL OF Fig. 40.—Third method of eliciting He-gars sign of pregnancy (Sonntag). uterine body above, united by an area of softened tissue, thelower uterine segment; this is caused by the thinning and edematous condition of thissegment. Between the secondand fifth months of gestationHegars sign may be regardedas one of great value. It maybe recognized in 30 per cent,of the cases. In order to prop-erly elicit it, however, anesthe-sia is often necessary, and theabdominal walls must
A manual of obstetrics . Fig. 39. -Second method of eliciting Hegars signof pregnancy (Sonntag). 90 A MANUAL OF Fig. 40.—Third method of eliciting He-gars sign of pregnancy (Sonntag). uterine body above, united by an area of softened tissue, thelower uterine segment; this is caused by the thinning and edematous condition of thissegment. Between the secondand fifth months of gestationHegars sign may be regardedas one of great value. It maybe recognized in 30 per cent,of the cases. In order to prop-erly elicit it, however, anesthe-sia is often necessary, and theabdominal walls must be thinand flaccid enough to permitof the uterus being graspedbetween the two hands. OtherConditions in which this Signis fonnd.—Certain pathologic conditions of the uterus,notably uterine fibroids or myomatous growths, may occa-sionally produce such softening of the lower segment of theuterus as to closely simu-late this sign of preg-nancy. (7) Ballottcnicnt.— Oneof the so-called absolutesigns of pregnancy, avail-able only from the middleof the fourth to the eighthmonth, is that known asballottenioit. It may bep
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
