A textbook of obstetrics . ith an ordinary twin preg-nancy ; or the fact that the woman is pregnant may be entirelyoverlooked,—a not uncommon mistake that has frequently ledto the tapping of the pregnant womb \x this procedure, however,appears to be harmless. Finally, it might be possible to mis-take the enlarged bladder associated with a retroflexed graviduterus for a case of hydramnios (Tarnier). When the dropsy of the amnion has notreached an excessive de-gree, the distinction be-tween it and ascites withpregnancy may be madeby mapping out the uter-ine wall and detectingresonance along thef
A textbook of obstetrics . ith an ordinary twin preg-nancy ; or the fact that the woman is pregnant may be entirelyoverlooked,—a not uncommon mistake that has frequently ledto the tapping of the pregnant womb \x this procedure, however,appears to be harmless. Finally, it might be possible to mis-take the enlarged bladder associated with a retroflexed graviduterus for a case of hydramnios (Tarnier). When the dropsy of the amnion has notreached an excessive de-gree, the distinction be-tween it and ascites withpregnancy may be madeby mapping out the uter-ine wall and detectingresonance along theflanks in the dorsal de-cubitus ; and an ovariancyst in pregnancy maybe excluded by the ab-sence of two tumors ofdifferent consistency andshape. A twin preg-nancy without hydram-nios will present, on ex-ternal palpation, an en-larged uterus, offeringfirm but irregular re-sistance from its solidcontents. In extremedistention of the uterus,which in some casesseems only limited bythe utmost capacity ofthe abdomen, a definite. Fig. 73.—Abdominal distention due to hy-dramnios. Woman pregnant six months withtwins ; one sac contained 2^ gals. ; the other,one pint (authors case). diagnosis becomes im-possible ; in such cases it may be justifiable to resort to anexploratory abdominal Treatment.—If the fluid should accumulate in such quantityor so rapidly as to produce alarming symptoms in the woman,its evacuation is indicated. This is best accomplished by the the membranes through natural passage ; that is, by rupturing 1 Cases reported by Scarpa, Camper, Noel, Desmarais, Schatz, Tillaud, Chiara,Kidd, etc., not followed by the slightest bad results. 2 Successfully performed in a case of extreme distention of the abdomen fromhydramnios by Wilson, loc. cit. THE AMNION. IOI the cervix and allowing the liquor amnii to escape. By thismethod, unfortunately, labor is induced, and if the child has notbecome viable, its destruction is a necessary consequence. And,moreover, the sud
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
