The American text-book of obstetrics for practitioners and students . at a great part of the expulsiveforce is lost by the propulsion of the presenting part against the lateral wall * Adams20 has collected 10 cases of inguinal hernia of the gravid womb, including Dor-ingius, which he calls crural. In eight Cesarean section was done. In one the deliverywas spontaneous. DYSTOCIA. 79 of the pelvis. The displacement can be corrected by taming the woman onher siili—usually the right—toward which tin- fundus uteri is inclined, andplacing under her flank a rolled blanket or a pillow. Sacculation f th
The American text-book of obstetrics for practitioners and students . at a great part of the expulsiveforce is lost by the propulsion of the presenting part against the lateral wall * Adams20 has collected 10 cases of inguinal hernia of the gravid womb, including Dor-ingius, which he calls crural. In eight Cesarean section was done. In one the deliverywas spontaneous. DYSTOCIA. 79 of the pelvis. The displacement can be corrected by taming the woman onher siili—usually the right—toward which tin- fundus uteri is inclined, andplacing under her flank a rolled blanket or a pillow. Sacculation f the Uterus.—A backward displacement of the gravid wombin rare cases goes on to lull development by what i< called posterior saccula-tion, the distention of tli< uterus to accommodate the full-grown fetus being accomplished liv stretching the anterior uterine wall, the posterior wall and the fundus remaining fixed within the pelvis ( Fig. 59). In these cases the cervix is high above the pelvic inlet and is pressed close again-t the anterior abdoin-. Fig. .r)0.—Sacculation of the uterus. inal wall, the posterior vaginal wall bulges outward and downward, and fetalparts can be felt through it with a distinctness that suggests abdominal preg-nancy. Cesarean section has in one instance at least been performed on accountof this anomaly, but a study of recorded cases shows it to be unnecessary. Bythe artificial dilatation of the cervical canal and the performance of podalicversion delivery can be effected without difficulty. Partial Prolapse with Hypertrophic Elongation of the Cervix.—It is impos-sible for pregnancy to proceed to term with complete prolapse of the womb. although the size of the uterine tumor projecting from the vnlva in someeases has given rise to a belief in this possibility (Fig. 61). A careful 80 AMERICAN TEXT-BOOK OF OBSTETRICS. examination has always shown the major portion of the uterine body to bewithin the pelvic and abdominal cavities. Commonly t
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
