The practice of obstetrics, designed for the use of students and practitioners of medicine . e samedystocic effect upon labor as a contracted pelvis; theyprevent engagement of the head and lead to faultypositions. Owing to the degree of hardness of thefeces, removal dan hardly be effected save by extract-ing them piecemeal with the finger or a scoop. Cystocele.—A large cystocele which produces in-version of the vagina necessarily causes a variety ofstenosis of that portion of the birth tract. Such acondition may be due to vesical calculus (page 615).An ordinary cystocele may be remedied for th
The practice of obstetrics, designed for the use of students and practitioners of medicine . e samedystocic effect upon labor as a contracted pelvis; theyprevent engagement of the head and lead to faultypositions. Owing to the degree of hardness of thefeces, removal dan hardly be effected save by extract-ing them piecemeal with the finger or a scoop. Cystocele.—A large cystocele which produces in-version of the vagina necessarily causes a variety ofstenosis of that portion of the birth tract. Such acondition may be due to vesical calculus (page 615).An ordinary cystocele may be remedied for the timebeing by evacuating the bladder with a catheter sobent as to reach the interior of the pouch. In cases of obstructed laborthe prolonged compression of the vagina against the symphysis may resultin necrosis and fistula. Rectocele.—This condition, due to prolapse of the vaginal wall, is veryrarely encountered during labor. When present, the tumor may contain eitherthe rectum or a portion of the intestines (vaginal enterocele). The diagnosis is* Tarnier and Budin, vol. iii, p. 488. Fig. 810.—Distended Rec-tum Obstructing Labor.— {From W. C. Lusksfrozen section.) MATERNAL DYSTOCIA FROM OBSTRUCTED LABOR. 615 made by digital exploration of the rectum. Rectocele is not a formidable com-plication of labor and the danger of impaction and pressure accidents is notgreat. An enema should be given, after which the prolapsed vaginal wallshould be replaced until the presenting part has passed the obstruction. (Forconsideration of enterocele, see page 614.) Vesical Calculus.—Stone in the bladder very rarely complicates have, however, been recorded in which calculi have obstructed laboreither by causing vaginal cystocele or through impaction at the pubis. In anycase of obstruction of the vagina the possibility of calculus should be excludedby passing a vesical sound. The stone must be removed from the region ofthe birth tract by placing the woman in the modified
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
