A textbook of obstetrics . e walls. In this condi-tion of affairs the mere weight ofthe placenta is enough to dragthe fundus down into the uterinecavity. A most favorable predis-posing cause is furnished by acomplete inertia uteri at the closeof the second stage of labor. Theexpressive force of the abdominalmuscles not only expels the childs body, but drives down the uterus after it. Inversion of theuterus may be most frequently explained by traction on the cordin the third stage of labor, when the placenta is adherent. Itmay occur in consequence of a short cord pulling upon the pla-centa duri


A textbook of obstetrics . e walls. In this condi-tion of affairs the mere weight ofthe placenta is enough to dragthe fundus down into the uterinecavity. A most favorable predis-posing cause is furnished by acomplete inertia uteri at the closeof the second stage of labor. Theexpressive force of the abdominalmuscles not only expels the childs body, but drives down the uterus after it. Inversion of theuterus may be most frequently explained by traction on the cordin the third stage of labor, when the placenta is adherent. Itmay occur in consequence of a short cord pulling upon the pla-centa during labor. In a case under my observation the cordwas wound three times around the childs neck. It is sometimesdue to too vigorous compression of the fundus in efforts to ex-press the placenta, and I have seen it occur on one occasion inan effort to extract an adherent placenta, in which the hand andthe placenta grasped within it acted like the piston of a syringeand drew the fundus down into the uterine cavity. A necessary. Fig. 445- Partial inversion of theuterus. 566 TILE PATHOLOGY OF LA TOR. predisposition to inversion of the womb is relaxation of its the uterus is firmly contracted, the accident can not occur. Symptoms.—Inversion occurs suddenly, and is usually asso-ciated with profound shock, and often with some patient at once passes into a most alarming condition, thatcan scarcely fail to attract any ones attention. The only causesfor her condition would be hemorrhage, rupture of the uterus,


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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics