A treatise on the science and practice of midwifery . of the gynaecologist, and involves the considerationof many points that would be out of place in a work on obstetrics. Here,therefore, the acute form alone is considered. Description of Inversion.—Inversion consists essentially in the en-larged and empty uterus being turned inside out, either partially orentirely ; and this may occur in various de-grees, three of which are usually describedand are practically useful to bear in the first and slightest degree there ismerely a cup-shaped depression of the fun-dus (Fig. 147); in the sec
A treatise on the science and practice of midwifery . of the gynaecologist, and involves the considerationof many points that would be out of place in a work on obstetrics. Here,therefore, the acute form alone is considered. Description of Inversion.—Inversion consists essentially in the en-larged and empty uterus being turned inside out, either partially orentirely ; and this may occur in various de-grees, three of which are usually describedand are practically useful to bear in the first and slightest degree there ismerely a cup-shaped depression of the fun-dus (Fig. 147); in the second the depres-sion is greater, so that the inverted portionforms an intro-susception, as it were, andprojects downward through the os in theform of a round ball, not unlike the bodyof a polypus, for which, indeed, a carelessobserver might mistake it; and, thirdly,there is the complete variety, in which thewhole organ is turned inside out, and mayeven project beyond the vulva. Its Symptoms.—The symptoms are gen- 7 characteristic, although wiien. Partiil Inversion of ihe Fundus. (From h preparation in the Museum t Guys Hospital.) the amount of inversion is small they mayentirely escape observation. They arechiefly those of profound nervous shock—viz. fainting, small, rapid, and feeblepulse, possibly convulsions and vomiting,and a cold clammy skin. Occasionally severe abdominal pain and crampand bearing-down are felt. Hemorrhage is a frequent accompaniment,sometime- to a very alarming extent, especially if the placenta be par-tially or entirely detached. The loss of blood depends to a great extenton the condition of the uterine parietes. If there be much contractionon the part that is not inverted, the intro-suscepted part may !><? suf-ficiently compressed to prevent any great loss. II the entire organ bein a state of relaxation, the loss may be excessive. Results qf Physical Examination.—The occurrence of such symptomsshortly after delivery would of necessity lead
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
