The American text-book of obstetrics for practitioners and students . Fig. 105.—Transverse rupture of lower seg- FIG. 106.—Impending rupture of uterus in a shoul- menl of uterus (Spiegelberg): a, probe inserted der presentation (much modified from Schroeder :under the peritoneum. oe, external os; oi, internal os; cr, contraction- ring. head, the latter in its descent will press the lower segment of the womb againstthese sharp ridges with so much force that they may grind their way into theuterine tissues. Any attempt to pull the head into the pelvis with forcepsMill under these conditions only
The American text-book of obstetrics for practitioners and students . Fig. 105.—Transverse rupture of lower seg- FIG. 106.—Impending rupture of uterus in a shoul- menl of uterus (Spiegelberg): a, probe inserted der presentation (much modified from Schroeder :under the peritoneum. oe, external os; oi, internal os; cr, contraction- ring. head, the latter in its descent will press the lower segment of the womb againstthese sharp ridges with so much force that they may grind their way into theuterine tissues. Any attempt to pull the head into the pelvis with forcepsMill under these conditions only help to increase the amount of injury to theuterus. Incomplete rupture of the uterus, with the inner portion of the wallentire, can have originated in this manner only. By far the greatest number of ruptures of the uterus, however, arc causedin an entirely different way. They are the direct result of the uterine con-trail ions and of over-distent ion of the lower segment of the uterus. Thismode of origin was first pointed out in 1ST) by Bandl, and since then h
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1
