A textbook of obstetrics . e that a tumor low down on the posterior wall of the cervix,the most unfavorable of all positions, may be suddenly elevated alter many hour- oflabor, and thus allow a spontaneous delivery ; but this event is not to be counted onin practice. ;oo THE PATHOLOGY OF LABOR. illustrated in figure 367, communicated to the author by Dr. J. , of South Carolina. If the fibroid is submucous andgrows from the cervix, it may be enucleated when labor bed of the tumor should be packed with gauze after is, unfortunately, a common error to overlook a fibr
A textbook of obstetrics . e that a tumor low down on the posterior wall of the cervix,the most unfavorable of all positions, may be suddenly elevated alter many hour- oflabor, and thus allow a spontaneous delivery ; but this event is not to be counted onin practice. ;oo THE PATHOLOGY OF LABOR. illustrated in figure 367, communicated to the author by Dr. J. , of South Carolina. If the fibroid is submucous andgrows from the cervix, it may be enucleated when labor bed of the tumor should be packed with gauze after is, unfortunately, a common error to overlook a fibroidtumor obstructing the pelvis in labor, or to mistake it for thefetal head. The woman is allowed to die of ruptured uterus,exhaustion, or hemorrhage, while the physician is waiting for thedescent of the presenting part, or is endeavoring to apply theforceps to what he takes to be the head. Ordinary care anda little experience in making obstetrical examinations shouldguard a practitioner against such an egregious Fig. 367.—Small fibroid past which the child was extracted. The tumor becamegangrenous, and the woman died [Simpson). The prognosis of labor complicated by a fibroid tumor de-pends upon the early recognition of the growth and upon thetreatment. In general practice the results have hitherto beenbad. Xauss found a maternal mortality of 54 per cent, among225 women and an infantile mortality of 57 per cent, in 117cases. Siisserott found in 147 cases a maternal mortality of 50per cent, and an infantile mortality of 66 per 1 Sutugin is an enthusiastic advocate of vaginal operations for all cases of fibroidsimpacted in the small pelvis. For intramural tumors the cervix is split until thetumoi 1 reached. For subserous tumors the vaginal vault is opened. Nine suchoperations subpartu are reported with only one death (Jahresb. ii. d. Fortsch. a. <1« 1 Geburtsh., etc., vol. v, p. 175). Sutugio, toe. at. ANOMALIES TN THE FORCES OF LABOR. iOI In Lef
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
