. A system of obstetrics . Frozen Section of Puerperal Uterus in a State of Anteflexion (Stratz). ments are most frequently the result of some sudden physical effortsoon after leaving the bed, especially if the woman has risen too early, before involution has sufficientlyfar advanced. Another commoncause is the faulty application of acompress under the binder. Manynurses will, unless they are prop-erly directed, place a thick com-press in direct relation with theanterior uterine wall, thus crowd-ing the whole organ backward, in-stead of adjusting it over the fun-dus of the uterus, where it wil
. A system of obstetrics . Frozen Section of Puerperal Uterus in a State of Anteflexion (Stratz). ments are most frequently the result of some sudden physical effortsoon after leaving the bed, especially if the woman has risen too early, before involution has sufficientlyfar advanced. Another commoncause is the faulty application of acompress under the binder. Manynurses will, unless they are prop-erly directed, place a thick com-press in direct relation with theanterior uterine wall, thus crowd-ing the whole organ backward, in-stead of adjusting it over the fun-dus of the uterus, where it willmaintain a condition of antever-sion, and by constant pressure pro-mote firm contraction and rapidinvolution. Retroversion and retroflexion may persist after prematuredelivery if these displacements existed during Neglect1 Schatz: Arch. f. Gyndk., Bd. Retroflexion of Puerperal Uterus (Schatz). PUERPERAL HEMORRHAGE. 481 to empty the bladder at proper intervals may be found a cause in somecases. In extreme examples of this kind the uterus is pushed farupward, backward, and usually to the right Bide. DIAGNOSIS.—This i- easy if a careful physical exploration is made;and it should be an invariable rule to make a vaginal examination inevery case of puerperal hemorrhage. It is not rare to find some portionof the ovum or blood-clots retained within the uterine cavity in conse-quence of the stenosis by angulation of the cervical It istherefore not sufficient to rest satisfied with the diagnosis of displace-ment in puerperal hemorrhage, but it is necessary to be sure there isnothing detained within the uterus. It should be remembered thatthere may be not hemorrhage, but, for a time, suppression of the lochiawith displacements of the uterus. Occasionally the dislocation mayoccur rather acutely and be associated with grave symptoms,
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
