A System of midwifery : including the diseases of pregnancy and the puerperal state . adder. In this case, by a mo lerate distension, the fundus uteriwas Btrongly displaced backwards, aud the vaginal portiou forwards,so that it de-pended upon our will, by the injection of a greater or less quantity of tluid into the bladder, to induce a bigber or Lower grade of —Lekrbuch <l< r (!< burts-hilfe. 248 DISEASES OF PREGNANCY. [CHAP. level, a firm rounded tumor is felt, apparently occupying the recto-vaginal pouch, and pressing forwards the posterior wall of the vagina.(Fig. 9
A System of midwifery : including the diseases of pregnancy and the puerperal state . adder. In this case, by a mo lerate distension, the fundus uteriwas Btrongly displaced backwards, aud the vaginal portiou forwards,so that it de-pended upon our will, by the injection of a greater or less quantity of tluid into the bladder, to induce a bigber or Lower grade of —Lekrbuch <l< r (!< burts-hilfe. 248 DISEASES OF PREGNANCY. [CHAP. level, a firm rounded tumor is felt, apparently occupying the recto-vaginal pouch, and pressing forwards the posterior wall of the vagina.(Fig. 95.) On examination by the rectum,—into which two fingersarc to be passed as high as possible,—the same tumor is felt throughthe anterior wall, but in this method of observation, considerable diffi-culty will often be experienced in passing the finger, owing to the greatpressure to which the bowel is subjected. Backward displacement ofthe gravid womb has generally been observed in the third or fourthmonth of pregnancy, but cases are recorded by Smellie, Bartlett, and Fig. Ketroflexiou of the womb about the 16th week. (Schultze.) others, in which it was observed as late as the fifth or even the seventhmonth. It is more than likely, however, that, in those instances, whatScanzoni describes as partial retroflexion was mistaken for completedislocation of the organ. The partial retroflexion here referred towould be more accurately described as a peculiarity in the shape of theuterus, in consequence of which its posterior wall forms a tumor which,owing to some peculiarity in the position of the child, projects into therecto-vaginal pouch, and thus resembles an ordinary case. Assumingthat this docs actually take place, the occurrence is possible at a muchmore advanced period of pregnancy, when the development upwards ofthe remainder of the uterus would probably enable us, without muchdifficulty, to recognize the nature of the case. Of much more frequent occurrence than that
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectobstetrics, bookyear1
