A textbook of obstetrics . ourse of the wound with a needle and thread, until the upperend of the tear was reached. Lacerations of the anterior and posterior vaginal vaults pen-etrating to the peritoneal cavity are usually associated with rup-ture of the uterus. They are to be treated by gauze packing anddrainage. Lacerations and Abrasions of the Vulva, of the Vestibule, and ofthe Vaginal Entrance.—The most frequent site for injuries in thisregion is the upper portion of the vestibule and the tissues on oneside of the clitoris or of the urethra. Tears in this situation bleedprofusely, and they


A textbook of obstetrics . ourse of the wound with a needle and thread, until the upperend of the tear was reached. Lacerations of the anterior and posterior vaginal vaults pen-etrating to the peritoneal cavity are usually associated with rup-ture of the uterus. They are to be treated by gauze packing anddrainage. Lacerations and Abrasions of the Vulva, of the Vestibule, and ofthe Vaginal Entrance.—The most frequent site for injuries in thisregion is the upper portion of the vestibule and the tissues on oneside of the clitoris or of the urethra. Tears in this situation bleedprofusely, and they are so common that it is a valuable rule ofpractice always to look in this region for injury when there isa hemorrhage from the vagina after labor with a well-contractedwomb. The bleeding points are in plain sight, and the hemor-rhage is easily controlled by a stitch or two, deep enough toundersew the whole depth of the tear. A catheter should be 1 Piering, Centralblatt f. Gyn., No. 48, 1891. 556 THE PATHOLOGY OF Figs. 1-21, .jjj, and 423, -Lacerations and abrasions of the vestibule and vaginal entrant e | Bar). LABOR COMPLICATED BY ACCIDENTS AND Dl n ~.:jr. >.


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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics