The American text-book of obstetrics for practitioners and students . Fig. .r)0.—Sacculation of the uterus. inal wall, the posterior vaginal wall bulges outward and downward, and fetalparts can be felt through it with a distinctness that suggests abdominal preg-nancy. Cesarean section has in one instance at least been performed on accountof this anomaly, but a study of recorded cases shows it to be unnecessary. Bythe artificial dilatation of the cervical canal and the performance of podalicversion delivery can be effected without difficulty. Partial Prolapse with Hypertrophic Elongation of the
The American text-book of obstetrics for practitioners and students . Fig. .r)0.—Sacculation of the uterus. inal wall, the posterior vaginal wall bulges outward and downward, and fetalparts can be felt through it with a distinctness that suggests abdominal preg-nancy. Cesarean section has in one instance at least been performed on accountof this anomaly, but a study of recorded cases shows it to be unnecessary. Bythe artificial dilatation of the cervical canal and the performance of podalicversion delivery can be effected without difficulty. Partial Prolapse with Hypertrophic Elongation of the Cervix.—It is impos-sible for pregnancy to proceed to term with complete prolapse of the womb. although the size of the uterine tumor projecting from the vnlva in someeases has given rise to a belief in this possibility (Fig. 61). A careful 80 AMERICAN TEXT-BOOK OF OBSTETRICS. examination has always shown the major portion of the uterine body to bewithin the pelvic and abdominal cavities. Commonly the fundus is at a. Fig. 60.—Prolapse of a double uterus in a pregnant woman (Maygrier). normal level, and the descent of the cervix has been accomplished by :,]j-—1 stretching the lower uterine segment/ and by hypertrophic elongation of the cervix itself. When the contraction of the uterine muscle begins in labor, a aSNs^v partial prolapse of the womb is usually
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
