A textbook of obstetrics . t. ? ^> ***4 n 1 1/ Tfe^ 1 H / % \gM 1 ii % B f% r 1 I [? $ 1 Fig. 125.—The relation of the pregnant uterus at term to the intestines. After the third month, as the womb rises into the abdominalcavity, the laxity of the abdominal wall allows it to fall some-what forward, so that the anteflexion persists to a certain degree,but diminishes as the womb increases in length. In consequenceof the position of the sigmoid flexure and rectum, almost alwaysdistended in constipated women, the uterus is tilted to the rightside and is rotated on its longitudinal axis, so that
A textbook of obstetrics . t. ? ^> ***4 n 1 1/ Tfe^ 1 H / % \gM 1 ii % B f% r 1 I [? $ 1 Fig. 125.—The relation of the pregnant uterus at term to the intestines. After the third month, as the womb rises into the abdominalcavity, the laxity of the abdominal wall allows it to fall some-what forward, so that the anteflexion persists to a certain degree,but diminishes as the womb increases in length. In consequenceof the position of the sigmoid flexure and rectum, almost alwaysdistended in constipated women, the uterus is tilted to the rightside and is rotated on its longitudinal axis, so that the anteriorsurface looks toward the right, and the left broad ligament, withits attached structures, becomes more accessible to abdominal pal- THE PHYSIOLOGY OF PREGNANCY. I85 pation. The topographical relation of the intestines is impor-tant. They should always be situated above and behind theuterus, thus giving no resonance over the anterior abdominal wallon percussion; but in rare cases of excessive tympany the r. 0 t Fig. 126.—The cervix in the fifth month Fig. 127.—The cervix in the seventhof pregnancy (Leopold). month of pregnancy (Leopold).
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
