A manual of obstetrics . rare cases the prolapsemay be almost —The coursepursued by gestation socomplicated is patent. Inby far the great majorityof cases there occurs aspontaneous reposition,the uterus as it increasesin size slowly retreating up the vagina until it occupiesits normal position, when pregnancy may continue unin-terruptedly to term. In other and rarer cases the heavyuterus fails to retract, and becomes incarcerated in itsunnatural position. There then follows a rapidly suc-ceeding series of phenomena—pain; pressure upon therectum and bladder with arrest of
A manual of obstetrics . rare cases the prolapsemay be almost —The coursepursued by gestation socomplicated is patent. Inby far the great majorityof cases there occurs aspontaneous reposition,the uterus as it increasesin size slowly retreating up the vagina until it occupiesits normal position, when pregnancy may continue unin-terruptedly to term. In other and rarer cases the heavyuterus fails to retract, and becomes incarcerated in itsunnatural position. There then follows a rapidly suc-ceeding series of phenomena—pain; pressure upon therectum and bladder with arrest of the functions of theseorgans ; intense congestion of the uterus; the occurrenceof uterine contractions ; and, finally, expulsion of the those cases in which there has been reported con-tinuance of the pregnancies to term in prolapsed organsthe probable condition is one of hypertrophic elongationof the infravaginal portion of the cervix, the body properof the uterus occupying its normal position. Treatment.—. Fig. 103.—Partial prolapse of the womb inlabor (Wagner). 396 A MANUAL OF OBSTETRICS. As soon as this displacement is discovered the uterusshould be returned to the pelvic cavity and retainedthere by a properly fitting ball-pessary held in place by abandage. This should be worn until the organ attains asize sufificient to prevent its descent through the incarceration have taken place, efforts at reposition mustbe made. The woman should be placed at rest in thedorsal position with her hips elevated, and ice applied tothe congested organ; by these measures the congestionmay so far be overcome that reposition will be renderedpossible; if necessary to facilitate this, anesthetization maybe resorted to. If the parts be so edematous and so tightl)-bound down by inflammatory adhesions that a replacementis impossible, the induction of abortion is indicated. Afterconfinement the gynecologic condition should be treated. Lateral Displacements of the Uterus.—
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
