A textbook of obstetrics . - be twisted onits pedicle, the cervix, or it may form part of the contents of ahernial sac in inguinal or ventral hernia-. Anterior Displacement of the Iterns in Labor; PendulousBelly.— This is a common anomaly in labor, seen to some degreein all cases of obstructed labor, as in deformed pelvis, and in allcases in which the length of the abdominal cavity is decreased,as in kyphosis. A peculiar example of forward displacement isseen in those rare instances of hernia of the parturient wombbetween the recti muscles or to one side of the median line dur-ing the second s
A textbook of obstetrics . - be twisted onits pedicle, the cervix, or it may form part of the contents of ahernial sac in inguinal or ventral hernia-. Anterior Displacement of the Iterns in Labor; PendulousBelly.— This is a common anomaly in labor, seen to some degreein all cases of obstructed labor, as in deformed pelvis, and in allcases in which the length of the abdominal cavity is decreased,as in kyphosis. A peculiar example of forward displacement isseen in those rare instances of hernia of the parturient wombbetween the recti muscles or to one side of the median line dur-ing the second stage of labor (Fig. 358). The pregnant womb. Fig. 358.—Hernia of the gravid womb through the linea alba (Dickinson). may fall forward also into an umbilical hernia or into a ventralhernia following celiotomy. The removal of the obstruction to labor in the first class o\eases will ordinarily obviate the anterior displacement. It thedisplacement depends not upon obstruction, but upon llaecidabdominal walls, the application of an abdominal binder surelycorrects the anteversion. In eases of hernia of the uterus throughthe anterior abdominal wall, artificial delivery with forceps or byversion may be necessary ; when the uterus is evacuated, it caneasily be- returned into the abdominal cavity. A tight abdominalbinder and the diminution of intra-abdominal pressure after de-Livery will promote the approximation of tin- separated recti ANOMALIES TN THE FORCES (>/? LABOR. 493 muscles. In inguinal hernia the pregnant womb in the hernialsac is usually unicorn or bicorn (Fig. 359). Delivery may beeffected by version, and this may be f
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
