. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. [Fig. 84 shows a notuncommon position of the gravid uterus at the sixth month,] 292 DIAGNOSIS. Then as regards the position of the tumor, it must not be sup-posed that the gravid uterus rises up in the median line and main-tains this position throughout the whole period of is a very common error, and one which has frequently led tomisconception and even worse. The fact is that the uterus doesat first, and during the first two or three months, occupy a medianposition—until it becom
. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. [Fig. 84 shows a notuncommon position of the gravid uterus at the sixth month,] 292 DIAGNOSIS. Then as regards the position of the tumor, it must not be sup-posed that the gravid uterus rises up in the median line and main-tains this position throughout the whole period of is a very common error, and one which has frequently led tomisconception and even worse. The fact is that the uterus doesat first, and during the first two or three months, occupy a medianposition—until it becomes bulky and rises into the once in the abdomen it generally occupies for the next twomonths—that is to say, speaking broadly, during the fifth, sixth,and part of the seventh months—a lateral position, being mostfrequently found on the right side of the abdomen. The degree ofthe lateral displacement varies in different cases, it being greaterin some cases than in others, and when the abdomen is large, theintestines tympanitic, and the uterine tumor small in proportion Fig. to the period of the pregnancy, the tumor may be, and has been,overlooked, owing to the observer not being aware of this normallateral deviation. See Fig. 34. We may now consider for a moment the indications to be draAvnfrom the size and position of the tumor in the abdomen, as to theexistence or absence of pregnancy in the case before us. Themost important circumstance to bear in mind in deciding for oragainst pregnancy—size and position of the tumor alone consid-ered— is the relation which we find to subsist between the size andthe duration of the tumor. Thus we examine the abdomen on aparticular day, and find a tumor extending to half way betweenthe pubes and umbilicus ; and examining the same case two monthslater, we find the upper border a little way above the umbilicus. TUMORS TRACEABLE INTO PELVIS PREGNANCY. 293 If Other signs of pregnancy be present, or rather if they be not
Size: 1811px × 1379px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksub, booksubjectgynecology, booksubjectwomen
