The American text-book of obstetrics for practitioners and students . presenting part begins to emerge. Toavoid a rectal tear in such a case the perineum should he cut from the anteriorborder of the perforation to the posterior commissure of the vulva (Fig. 56).Rigidity of the tissues in the cervix, the vaginal wall, and at the outletoccasions delay in the majority of all primiparse, but especially in the case ofelderly prirniparee—those over thirty years of age. Eckhard found theinfantile mortality in such cases to be per cent., the maternal mortalityto be three times as great as in you
The American text-book of obstetrics for practitioners and students . presenting part begins to emerge. Toavoid a rectal tear in such a case the perineum should he cut from the anteriorborder of the perforation to the posterior commissure of the vulva (Fig. 56).Rigidity of the tissues in the cervix, the vaginal wall, and at the outletoccasions delay in the majority of all primiparse, but especially in the case ofelderly prirniparee—those over thirty years of age. Eckhard found theinfantile mortality in such cases to be per cent., the maternal mortalityto be three times as great as in younger prirniparse ; and the necessity foroperative interference increases steadily with the age of the prirniparse until,in those past forty, almost two-thirds are delivered by some operative pro-cedure, usually forceps. Craniotomy should be done if the child is is the least successful operation in these cases. Displacements of the Uterus.—The uterus in labor may be displacedforward ; to either side; downward ; or backward, by the so-called saccula-. Fig. 56.—Central tear in the peri-neum, with contracted vulvar orifice(Ribemont-Dessaignes). DYSTOCIA. 77 fcion of the womb. It may be twisted «>n its pedicle, the cervix, or it mayform part of the contents of a hernial sac in inguinal or ventral hernia. Anterior Displacement of the Uterus in Labor; Pendulous Belly.—This is a
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
