. Cyclopædia of obstetrics and gynecology . w of the sacrum as to becomeaccessible to the finger, or even, when the labia are pressed open, to be DISEASES OF PREGNANCY. 209 seen distending the posterior vaginal wall. The cervix is so high behindthe pubes that the finger no longer reaches it. Ordinarily the second de-gree succeeds the first, and this is particularly true of the chronic or slowform. But the pliysiological backward inclination of the uterus, duringthe first three months, must not be mistaken for a retroversion. Afterthe third month, the uterus tends to quit the true pelvis, strai
. Cyclopædia of obstetrics and gynecology . w of the sacrum as to becomeaccessible to the finger, or even, when the labia are pressed open, to be DISEASES OF PREGNANCY. 209 seen distending the posterior vaginal wall. The cervix is so high behindthe pubes that the finger no longer reaches it. Ordinarily the second de-gree succeeds the first, and this is particularly true of the chronic or slowform. But the pliysiological backward inclination of the uterus, duringthe first three months, must not be mistaken for a retroversion. Afterthe third month, the uterus tends to quit the true pelvis, straighteningitself, and approaching more nearly to the axis of the superior , if it encounters an obstacle, whether this be a too prominent sacro-vertebral angle or a sigmoid flexure filled with faeces, the fundus is pushedbackward while the cervix tends to approach the symphysis. Intestinaland vesical disturbances now appear, (Fig. 17) accompanied by feelingsof weight, of traction and of pains in the loins, while examination enables. Fig. 17.—Retroversion of the Uterus. Gangrene of the Detached Mucous Membrane ofTHE Bladder and of a Part of the Muscular Coat.—/, Intestine. U, Uterus. V. Bladder. W,Vagina. MV, Gangrenous mucous membrane of the bladder. one to discover uterine displacement. Women walk and stand with difii-culty, and these symptoms becoming aggravated and retention of urinebecoming complete, the disease passes into the second degree. Salmon thinks that an effort or some injury is necessary, in this case,on which point Depaul does not agree with him. When, however, retro-version is suddenl} produced, observation shows it to be always due toviolence, to efforts, to fatigues or to traumatism. Then the acute symp-toms are speedily developed, and more or less intense pain occurs at themoment when the displacement takes place. The chief symptom of retroversion is retention of urine, and it is neverwanting in the second degree. The retention is generally comp
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