. An American text-book of obstetrics. For practitioners and students. s. Heperformed abdominal section, but wasunable to save the patient. Ectopic gestation may be simulated by a retroverted pregnant uterus, as ina case reported by Barbour,55 in which the physical signs of retroversion inthe pregnant uterus were perfectly present. In the treatment of this con-dition Cohnstein,56 in treating five severe cases of incarceration of the preg-nant uterus, first emptied the bladder by a stiff catheter, and then drew downthe cervix and vaginal wall with a tenaculum, while the cervix was pressedbackwa
. An American text-book of obstetrics. For practitioners and students. s. Heperformed abdominal section, but wasunable to save the patient. Ectopic gestation may be simulated by a retroverted pregnant uterus, as ina case reported by Barbour,55 in which the physical signs of retroversion inthe pregnant uterus were perfectly present. In the treatment of this con-dition Cohnstein,56 in treating five severe cases of incarceration of the preg-nant uterus, first emptied the bladder by a stiff catheter, and then drew downthe cervix and vaginal wall with a tenaculum, while the cervix was pressedbackward by downward pressure behind the symphysis. While the cervixwas drawn downward and backward by a tenaculum the fundus was raisedwith the free hand of the operator. Retroversion of the pregnant uterus is occasionally found complicated bythe existence of disease of the pelvic bones; in these cases the pelvic deform-ity is often such that spontaneous restitution of the uterus is impossible. Itis then necessary to relieve the patient by operative means, and, as a last. Fig. 143.—Frozen section of retroverted uterus ofthree and a half to four months. Death from rup-ture of bladder ( Gyn., Baud 41, Taf. 8, f. 1). 196 AMERICAN TEXT-BOOK OF OBSTETRICS. resort, to extirpate the uterus per vaginam if possible. An interesting ease ofosteomalacia complicating retroflexion of the gravid uterus is reported bvBenckiser f7 efforts had previously been made to produce abortion and topuncture the fetal sac through the posterior vaginal wall. The treatment of retroversion of the pregnant uterus when adhesions arepresent must be conducted with great caution. A gentle effort should be madeto stretch the adhesions, gradually allowing the womb to regain its lost position :this is best accomplished by the use of the antiseptic wool tampon, combiningwith it an alterative application which shall aid in the absorption of exudatesin the pelvis and shall loosen adhesions. At present a favorite re
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
