A textbook of obstetrics . ases of vaginal tumors compli- 1 Ahlfeld, l> Zeitschrift f. Geburtshulfe und Gynakologie, Bd. xxi, p. 160;ibid., Bd. xiv, p. 14. 2 Ueber Geschwiilste der Vagina als Schwangerschaft und Geburtskompli-kationen, *« , Bern, [889. 490 THE PATHOLOGY 01 LABt)R. eating labor—2$ cysts and echinococcous sacs; 18 fibroids,fibromyomata, and polypi ; 14 carcinomata, 1 sarcoma, and 4hematomata. Delivery was accomplished by the followingdiverse methods: Spontaneously, 14; by forceps, iS; by ver-sion and extraction, 2 ; by traction on the feet, 1 ; by removalor punctu
A textbook of obstetrics . ases of vaginal tumors compli- 1 Ahlfeld, l> Zeitschrift f. Geburtshulfe und Gynakologie, Bd. xxi, p. 160;ibid., Bd. xiv, p. 14. 2 Ueber Geschwiilste der Vagina als Schwangerschaft und Geburtskompli-kationen, *« , Bern, [889. 490 THE PATHOLOGY 01 LABt)R. eating labor—2$ cysts and echinococcous sacs; 18 fibroids,fibromyomata, and polypi ; 14 carcinomata, 1 sarcoma, and 4hematomata. Delivery was accomplished by the followingdiverse methods: Spontaneously, 14; by forceps, iS; by ver-sion and extraction, 2 ; by traction on the feet, 1 ; by removalor puncture of the tumor, [6; by Cesarean section, 7; by in-duction of premature labor and craniotomy, 2; by premature labor,3; by Laparo-elytrotomy, 1 ; by craniotomy 1 ; by pushing backthe tumor and extracting the child past it, 2. Among themothers there were 15 deaths; among the children, 13. In 1 1of the mothers and in 22 of the children the result was notreported. Edema of the vulva may be the result (A kidney insufficiency. Fig. ^56.—Edema and beginning gangrene of the vulva from prolonged pressure inan obstructed labor. Cesarean section (authors case). or of pressure in a prolonged labor. The increased bulk of thedropsical labia may interfere with the escape of the- presentingpart, or, what is more likely, the edematous tissues lose theirelasticity, obstruct labor by their rigidity, and are prone to deeptears at the time of birth and to gangrene afterward. Puncturesor incisions in the labia may be necessary to escape more seriousinjury, but it is well to avoid them if possible, for they are apt tobe followed by infection and gangrene. An abscess of Bartholins gland is seldom large 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. G
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