A textbook of obstetrics . a maternal mortality of 50per cent, and an infantile mortality of 66 per 1 Sutugin is an enthusiastic advocate of vaginal operations for all cases of fibroidsimpacted in the small pelvis. For intramural tumors the cervix is split until thetumoi 1 reached. For subserous tumors the vaginal vault is opened. Nine suchoperations subpartu are reported with only one death (Jahresb. ii. d. Fortsch. a. <1« 1 Geburtsh., etc., vol. v, p. 175). Sutugio, toe. at. ANOMALIES TN THE FORCES OF LABOR. iOI In Lefours statistics of 300 cases of fibroids complicatingl
A textbook of obstetrics . a maternal mortality of 50per cent, and an infantile mortality of 66 per 1 Sutugin is an enthusiastic advocate of vaginal operations for all cases of fibroidsimpacted in the small pelvis. For intramural tumors the cervix is split until thetumoi 1 reached. For subserous tumors the vaginal vault is opened. Nine suchoperations subpartu are reported with only one death (Jahresb. ii. d. Fortsch. a. <1« 1 Geburtsh., etc., vol. v, p. 175). Sutugio, toe. at. ANOMALIES TN THE FORCES OF LABOR. iOI In Lefours statistics of 300 cases of fibroids complicatinglabor, the mortality of delivery by the natural passage was 25 to55 per cent, for the mothers, jj per cent, for the A fibroid tumor may prolapse into the pelvis after the birthof the child and prevent the delivery of the placenta. Polypi. — Polypoid tumors obstructing labor usually springfrom the cervical canal or the anterior lip of the cervix, and aremucous in character. They may, however, be fibromyomatous,. Fig. 368.—Subperitoneal fibromata. The growth attached to the lower uterinesegment was impacted in the pelvis, insuperably obstructing labor. Celiohysterecto-my : woman recovered, although she had been in labor four days; child dead(authors case). fibrous, or sarcomatous, and may have a situation high in the uter-ine cavity or in its wall. They may increase very markedly in sizeduring pregnane). Their pedicle is usually small, and in the caseof cervical polypi their removal is easy. The operation shouldbe postponed, however, until the woman falls into labor, for anyoperative interference in this region would very likely interruptgestation. When the dilatation of the OS begins, the pedicle maybe transfixed and ligated and the tumor be cut away. Even if these Phillips, British Med. Jour., 1888, i, p. 331. • i2 THE PATHOLOGY OF LABOR. growths arc not sufficient in bulk to obstruct parturition me-chanically, they have been known to give rise to profuse hemor
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
