A textbook of obstetrics . arge enough toretard labor, though it has done so (Mullen, but it is likely tocause trouble afterward. It should be opened freely in the early ANOMALIES IN THE FORCES OF LABOR. 491 part of the first stage of labor, curetted, swabbed out with car-bolic acid and glycerin, and packed with iodoform gauze. Gangrene of the vulva is very rare before the termination oflabor. Should it exist, it might determine an operator in favorof Cesarean section in a doubtful case, on account of the rigidityof the vulvar tissues, the certainty of laceration, and the likeli-hood of grave


A textbook of obstetrics . arge enough toretard labor, though it has done so (Mullen, but it is likely tocause trouble afterward. It should be opened freely in the early ANOMALIES IN THE FORCES OF LABOR. 491 part of the first stage of labor, curetted, swabbed out with car-bolic acid and glycerin, and packed with iodoform gauze. Gangrene of the vulva is very rare before the termination oflabor. Should it exist, it might determine an operator in favorof Cesarean section in a doubtful case, on account of the rigidityof the vulvar tissues, the certainty of laceration, and the likeli-hood of grave infection. Enlarged Carunculat Myrtjformes and Varicose Wins.—Thesetumors do not possess sufficient bulk, as a rule, seriously to ob-struct the last stage of labor. They may, however, be so bruisedby the passage of the head as to slough afterward, or the veins inthem may be ruptured, giving rise to subcutaneous or frank bleed-ing of an alarming character. Vaginismus may be overcome by an anesthetic. Congenital vagina and. MP


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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics