A system of obstetrics . in addition to the Caesarean operation myotomy mustalso be done, and this double operation makes the prognosis almosthopeless. An ovarian tumor may complicate labor. The question of treat-ment will be determined chiefly by the size, consistence, position, andmobility of the growth. If the tumor be in the pelvis, possibly itmay be pushed up into the abdominal cavity, so that the presenting partof the foetus can descend ; if immovable and cystic, puncture or incisionmay be necessary ; but if it be solid, and thus fixed, the choice may bebetween the Caesarean operation an
A system of obstetrics . in addition to the Caesarean operation myotomy mustalso be done, and this double operation makes the prognosis almosthopeless. An ovarian tumor may complicate labor. The question of treat-ment will be determined chiefly by the size, consistence, position, andmobility of the growth. If the tumor be in the pelvis, possibly itmay be pushed up into the abdominal cavity, so that the presenting partof the foetus can descend ; if immovable and cystic, puncture or incisionmay be necessary ; but if it be solid, and thus fixed, the choice may bebetween the Caesarean operation and craniotomy. Nevertheless, beforeopening the uterus ovariotomy should be done, and then probably thedelivery can be effected through the natural passage. In case the 712 ANOMALIES OF THE FORCES IN LABOR. tumor be large and abdominal, rupture of the cyst may occur or twist-ing of its pedicle ; but rupture is not necessarily fatal, for how manyinstances are recorded in the non-pregnant without death! After dila- Fig. ^P^- Ovariau Tumor complicating Pregnancy. tation of the os the danger of bursting of the tumor comes—that is,during the period of abdominal contractions: this danger is to beavoided by artificial delivery, and this delivery should be by the for-ceps rather than by version, the results when the former method wasemployed having been much more favorable than those obtained bythe latter. It is also to be remembered that usually premature laboroccurs in cases of pregnancy complicated by a large ovarian tumor. Obstruction of the vagina as a consequence of the rectum being dis-tended with feces or the bladder with urine can only rarely has stated that he has seen many instances of the bladderprolapsing before the head, and mentions two in which it was punc-tured, one practitioner mistaking it for a dropsical head and the otherfor the bag of waters. Dr. Busey at the last meeting of the American Gynecological Societypresented a paper upon cystocolpo
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
