A textbook of obstetrics . Fig. 354—Transverse septum of thevagina (Heyder).. Fig. 355.—Anus vestibularis 1 Jot-ted lines show the limit of mucousmembrane; thickened .skin marks thenormal site of the anus (Dickinson). Hematomata.—Hematomata of the parturient tract usuallyoccur at the vaginal orifice, and most often between the birth oftwins. They are considered here only as mechanical obstaclesto labor. If the blood-tumor is large enough to constitute anobstruction to the escape of the child, its walls must be incisedand its contents be turned out, and if hemorrhage follows, it mustbe checked


A textbook of obstetrics . Fig. 354—Transverse septum of thevagina (Heyder).. Fig. 355.—Anus vestibularis 1 Jot-ted lines show the limit of mucousmembrane; thickened .skin marks thenormal site of the anus (Dickinson). Hematomata.—Hematomata of the parturient tract usuallyoccur at the vaginal orifice, and most often between the birth oftwins. They are considered here only as mechanical obstaclesto labor. If the blood-tumor is large enough to constitute anobstruction to the escape of the child, its walls must be incisedand its contents be turned out, and if hemorrhage follows, it mustbe checked by a firm tampon, preferably of iodoform gauze, inthe cavity of the tumor. Extensive cicatrices in tin- vagina from syphilitic, malignant,or other ulceration, or from former injuries, may be stretchedsufficiently by hydrostatic dilators or maybe severed by multipleincisions, followed by the application of forceps if the head is ANOMALIES IX THE FORCES Of LABOR. 489 presenting; but they may be too dense and extensive to yield to these measures, and a Cesarean section ma


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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics