A textbook of obstetrics . Fig. 353.—Double vagina. Closure and Contraction of the Vagina or Vulva.—There may beobstruction of the lower birth-canal by longitudinal and trans-verse septa, by cicatrices, by hematomata, by partial atresia, es-pecially at the upper third of the vagina, by unruptured hymen,by anus vaginalis, by vaginal tumors and cysts, by cystic andsolid tumors of the vulva, by enlarged carunculae myrtiformes,bv varices, bv vaginismus, by congenital narrowness of the 1 Cases are reported by Miiller, lireisky,(Pozzis Gynecology, vol. ii, p. 456). Budin, Ilcnrv, bidder, and Blanc 4
A textbook of obstetrics . Fig. 353.—Double vagina. Closure and Contraction of the Vagina or Vulva.—There may beobstruction of the lower birth-canal by longitudinal and trans-verse septa, by cicatrices, by hematomata, by partial atresia, es-pecially at the upper third of the vagina, by unruptured hymen,by anus vaginalis, by vaginal tumors and cysts, by cystic andsolid tumors of the vulva, by enlarged carunculae myrtiformes,bv varices, bv vaginismus, by congenital narrowness of the 1 Cases are reported by Miiller, lireisky,(Pozzis Gynecology, vol. ii, p. 456). Budin, Ilcnrv, bidder, and Blanc 488 THE PATHOLOGY OF LABOR. vagina and vulva, and by rigidity of the tissues, especially inelderly primiparae. Longitudinal and Transverse Septa.—These are not ordinarily very dense in structure, and they give way commonly before theadvance of the presenting part. If they do not yield, it is easy to cut them in one or more places, the hemorrhage being con-trolled, if necessary, by sutures afterward, or, in the case of
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
