The practice of obstetrics, designed for the use of students and practitioners of medicine . ntractions may berecognized in the tumor. In doubtful cases examination under anesthesia, with thebladder empty, will be necessary. There is often dribbling of urine at the third orfourth month. Menorrhagia would differentiate this condition from intrauterinepolyp. As to the terminations, if the incarceration is not relieved, there may berupture of the posterior vaginal wall and perineum, with extrusion of the uterus;very rarely pregnancy has continued to term, the anterior wall of the uterusbecoming e
The practice of obstetrics, designed for the use of students and practitioners of medicine . ntractions may berecognized in the tumor. In doubtful cases examination under anesthesia, with thebladder empty, will be necessary. There is often dribbling of urine at the third orfourth month. Menorrhagia would differentiate this condition from intrauterinepolyp. As to the terminations, if the incarceration is not relieved, there may berupture of the posterior vaginal wall and perineum, with extrusion of the uterus;very rarely pregnancy has continued to term, the anterior wall of the uterusbecoming enormously stretched, and the head of the fetus remaining in the hollowof the sacrum. Sloughing of the uterus may occur, with the discharge of itscontents into the vagina or rectum. Prognosis.—In the lesser forms of displacement, occurring early in pregnancythe prognosis is good, since spontaneous replacement usually occurs. Even incases of incarceration the prognosis is good if the condition is promptly andproperly treated. In neglected cases, however, it is very bad, since the patient. Fig. 450.—Partial Retroflexion. Theposterior uterine wall is fixed in the pelviccavity. The anterior wall dilates and thedotted lines show the progressive dilatationof the anterior uterine wall.—(Bumm.) 278 PATHOLOGICAL PREGNANCY. is exposed to many dangers, including rupture of the bladder, sloughing of theuterus, septic peritonitis, shock, and exhaustion. Treatment.—The bladder and bowels being emptied, in the simpler forms ofdisplacement an effort may be made to replace the uterus by pressure with thefingers while the patient is in the lithotomy position; but reduction will be moreeasily effected if the patient is in the knee-chest position. (See OperationsPart X.) A repositor may be used if failure attends the attempt with the fingers,and pressure should be made in the upward direction and to one side, in order toavoid the promontory. The reduction will be more easily accomplished if
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
