. Diseases of women. A clinical guide to their diagnosis and treatment. 1, Cavity of body ; 2, its left border ; 3, its upper border ; 4, 4, its lateral infundibuliformangles ; 5, os internum ; (5, cavity ot neck ; 7, arbor vitse of posterior wall; 8, os externum ;9, vagina. be inflamed; and the condition has been called chronicmetritis. Such aching uteri are generally large, becauseinvolution after childbirth has been incomplete. An accountof this disease therefore comprises three things : (1) The involution of the uterus. (2) The causes and effects of subinvolution. CHRONIC UTERINE PAIN. 85
. Diseases of women. A clinical guide to their diagnosis and treatment. 1, Cavity of body ; 2, its left border ; 3, its upper border ; 4, 4, its lateral infundibuliformangles ; 5, os internum ; (5, cavity ot neck ; 7, arbor vitse of posterior wall; 8, os externum ;9, vagina. be inflamed; and the condition has been called chronicmetritis. Such aching uteri are generally large, becauseinvolution after childbirth has been incomplete. An accountof this disease therefore comprises three things : (1) The involution of the uterus. (2) The causes and effects of subinvolution. CHRONIC UTERINE PAIN. 85 (3) The chronic uterine aching known as chronic metritis,chronic engorgement, and chronic areolar hyperplasia. The involution of the uterus.—On the day alter deliverythe uterus weighs from a pound and a half to two pounds anda half, and its iundus reaches as high as the umbilicus. Itsreturn during the lying-in period nearly to the dimensions ithad before pregnancy, is called the involution of the uterus(Figs. 15, 16). Generally by the twelfth day after delivery the. Fig 1G.—Multiparous Uterus, with the slight incompleteness of involution which is usual, iEt. 26. {After Sappey.) a, Anterior aspect. b, Uterine cavity. a. 1, Body of uterus ; 2, the neck ; 3, isthmus ; 4, os tinea;; 5, os externum, a transversefissure, its margin notched ; 6, 6, vagina. b. 1, Cavity of body ; 2, left lateral border: 3, 3, upper border : 4, 4, its upper or lateralinfundibuliform angles continuous with the Fallopian tub^s ; 5, its lower angle forming theos internum ; 6, cavity of the neck ; 7, arbor vitse; 8, posterior lip of s externum ; 9, vagina. fundus uteri is no longer above the pelvic brim. Two weeksafter delivery the uterus weighs about half a pound, and threeweeks after delivery from four to six ounces. Involution isin most cases complete at the end of two months, sometimesat the end of a month, and sometimes it takes as long asthree months. How involution is effected.—We have no exact
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