. An American text-book of obstetrics. For practitioners and students. Fig. 139.—Bimanual signs of the sixtli to eighth week, showing diagrammatically the alterations inconsistency of cervix and corpus uteri: A represents the vaulting or overhanging of the body and itselastic feel, with the compressibility of the lower uterine segment and the unyielding cervix; B showsthe conditions during uterine contraction, when the body is hard and globular. the outer hand on the abdomen seizing the uterus. The structures of thecorporeal wall may become soft and yielding, and may show a contrast with thece
. An American text-book of obstetrics. For practitioners and students. Fig. 139.—Bimanual signs of the sixtli to eighth week, showing diagrammatically the alterations inconsistency of cervix and corpus uteri: A represents the vaulting or overhanging of the body and itselastic feel, with the compressibility of the lower uterine segment and the unyielding cervix; B showsthe conditions during uterine contraction, when the body is hard and globular. the outer hand on the abdomen seizing the uterus. The structures of thecorporeal wall may become soft and yielding, and may show a contrast with thecervix below. It is true that the sign of bogginess of the body is not alwayspresent, and that its presence is simulated somewhat by morbid states, but thepeculiar compressibility of the lower segment, together with the bogginess of thebody and the changes in shape of the womb, is not simulated by anything else.(d) Changed Position of the Uterus.—We must not fail to bear in mindthe modification in the positions of the uterus that pregnancy usually Fig. 1-10.—Frozen section of uterus at two and a half months (Pinard), showing relaxed and thinwalls, thickened decidua; with the clinical findings of Figure 13U it will be seen how the bimanualsigns originated. In the first and second mouths the uterus is somewhat lower, but in the thirdmonth it undergoes au increased auteversion, for the reason that the relativelyincreasing weight of the body of the uterus with its growing contents tilts theupper end of the uterine lever downward and forward. This change in posi-tion will be noticed in all cases except those in which pregnancy has oc-curred in a previously retroverted uterus; the retroversion is then increased. 166 AMERICAN TEXT-BOOK OF OBSTETRICS. This statement is made, notwithstanding that some of this anteversion may beapparent, not real, the antero-posterior diameter of the organ being sign, recognized, as it may be, so early as the second month,
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
