. Cyclopædia of obstetrics and gynecology . , and pregnancy and labor generallytake their normal course. The prognosis is even good for the con-tinuance of pregnancy, when artificial reduction and the introduction ofa pessary are necessary (nine cases). But the outlook is much moreserious when incarceration occurs (two deaths). Among the seven casesof premature labor or of abortion, there was one death. 200 A TREATISE OJST OBSTETRICS. For the child, the prognosis is bad iu proportion to the rapidity oflabor. Among fifty-six women at term, six died, one in labor, and five duringthe puerperium.


. Cyclopædia of obstetrics and gynecology . , and pregnancy and labor generallytake their normal course. The prognosis is even good for the con-tinuance of pregnancy, when artificial reduction and the introduction ofa pessary are necessary (nine cases). But the outlook is much moreserious when incarceration occurs (two deaths). Among the seven casesof premature labor or of abortion, there was one death. 200 A TREATISE OJST OBSTETRICS. For the child, the prognosis is bad iu proportion to the rapidity oflabor. Among fifty-six women at term, six died, one in labor, and five duringthe puerperium. Among the fifty-six children, nineteen were born alive, fourteen dead,and the fate of twenty-four was not noted. Treatment.—This consists in favoring spontaneous reduction by ap-propriate postures on the patients part. If it does not occur, theGermans, more audacious than Cazeaux, advise artificial reduction asearly as possible, and support by means of a pessary. Hiiter, going stillfurther, recommends these measures even at eight Fig. 11.—Complete Prolapse op Uterus at Term.—Pi-esentation of a foot: (multipara, agedthirty-eight.) a, Meatus urinarious. b, Prolapsed uterus, c, Cervix at term, through which afootprojects. If reduction fails, the uterus is to be sustained by a suspensory bandageand removed from all causes of irritation. If symptoms of incarceration are developed, artificial abortion is justifi-able. When labor is protracted, artificial delivery is to be carefully per-formed by the forceps or version. The uterus is subsequently reduced. Uterine Deviations. The uterine deviations are lateral, the obliquities of the older writers;anterior, or anteversions; posterior, or retroversions. That is to say,there are deviations ero masse or partial deviations; anteflexions, retro-flexions, latero-flexions. All are not of equal importance. DISEASES OF PREGNANCY. 201 1. Uterine Obliquities; Lateral Deviations. The older writers attached great importance to these


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Keywords: ., bo, bookcentury1800, booksubjectgynecology, booksubjectobstetrics