A manual of practical obstetrics . ~Retro-fleocion of gravid uterus—sixteenth week. (Schultze.) -C Retroversion of the uterus is frequently associated with somedegree of retro-flexion—a bending of the axis of the womb, inwhich the os externum and vaginal portion of the cervix ap-pear to maintain their normal position, while the fundus isbent backward toward the sacrum (Fig. 40), but the disastrous 128 THE DISEASES OF PREGNANCY results are the same as in simple retroversion: so is the treat-ment. In the case of retroflexion it occasionally happens that thewomb becomes dilated into a sort of dou
A manual of practical obstetrics . ~Retro-fleocion of gravid uterus—sixteenth week. (Schultze.) -C Retroversion of the uterus is frequently associated with somedegree of retro-flexion—a bending of the axis of the womb, inwhich the os externum and vaginal portion of the cervix ap-pear to maintain their normal position, while the fundus isbent backward toward the sacrum (Fig. 40), but the disastrous 128 THE DISEASES OF PREGNANCY results are the same as in simple retroversion: so is the treat-ment. In the case of retroflexion it occasionally happens that thewomb becomes dilated into a sort of double sac, one pouch ofit being above, and the other below the pelvic brim, as shownin Fig. 41, from Dr. Barness work. Impaction, and dangerouspressure upon bladder, etc., in the pelvic cavity, are thus re-lieved. Both pouches may also rise above the brim sponta-neously as pregnancy proceeds, and the gestation reach full. Bisacculated uterus—incomplete Rectum. OU. Os uteri. B. Urethra and bladder. term ; or, the lower pouch remaining in the pelvic cavity, fullterm may still be attained, but delivery is impossible owing todisplacement of the os above pubis, and occupation of the pelviccavity by the lower pouch, unless the latter be pushed up bymanual pressure per vaginam and the os uteri brought down,which is the proper treatment, both during pregnancy and labor. Anteversion of Uterus.—Since the anterior pelvic wallis only one-third as deep as the posterior one, there is far less LEUCORRHCE A. 129 difficulty in the fundus uteri getting above the brim when itis displaced anteriorly (anteversion) than when retroversionoccurs. But when above the brim the womb may still remainanteverted and press upon the bladder, as bccurs chiefly indeformed women (pelvic deformity), or in cases of ventralhernia, or in those whose abdominal walls have become relaxedand pendulous from frequent childbeari
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