A manual of obstetrics . her conditions causing local rise of tem-perature are—i. Vaginitis; 2. Congestive diseases of thepelvic viscera. (5) Goo dells Sign.— Velvety softness of the cervix uteriis a truly valuable, although not absolutely diagnostic,sign of gestation, resulting from the edema of the tissuesof the cervix. It may be present as early as the second orthird week of pregnancy. Professor Goodell formulateda so-called ready rule of practice as follows : When the cer-vix is as hard as the tip of ones nose pregnancy presumablydoes not exist, but if it be as soft as ones lips, the exist
A manual of obstetrics . her conditions causing local rise of tem-perature are—i. Vaginitis; 2. Congestive diseases of thepelvic viscera. (5) Goo dells Sign.— Velvety softness of the cervix uteriis a truly valuable, although not absolutely diagnostic,sign of gestation, resulting from the edema of the tissuesof the cervix. It may be present as early as the second orthird week of pregnancy. Professor Goodell formulateda so-called ready rule of practice as follows : When the cer-vix is as hard as the tip of ones nose pregnancy presumablydoes not exist, but if it be as soft as ones lips, the existenceof pregnancy is probable. In this softened cervix in mul-tiparas the finger may be readily introduced for some dis-tance into the cervical canal, but this is impossible in primip-arous women. Other conditions in which softness of thecervix may exist are—i. At the menstrual epoch; 2. Insome uterine tumors; 3. In advanced endometritis. (6) Hegars Sign (Pigs. 38, 39, 40).—Softening and THE SIGNS OF PREGNANCY. 89. Fig. 38.—First method of eliciting Hegarssign of pregnancy (Sonntag). compressibility of the loioer segDieni of the uterine bodyare regarded by many as almost diagnostic of earlypregnancy. The sign maybe obtained by bimanualpalpation, the hands beingplaced in either of the sev-eral positions shown in theillustrations.^ Thus, it maybe elicited by passing theindex finger of the left handfar up into the rectum andthe thumb into the anteriorvaginal fornix, at the sametime pressure being exertedabove with the right handupon the abdomen between the symphysis and the method may be facilitated by hooking down the cervix with a tenaculum. An-other method is to placethe index finger in theposterior vaginal fornixwhile counter-pressure ismade with the oppositehand upon the uterusthrough the abdominalwall just above the sym-physis, the uterus beingstrongly third method con-sists in pressing the indexfinger of the left hand intothe anterior
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
