A textbook of obstetrics . Fig. 140. — 1 wins. Fig. 141.—Pregnant uterus distorted by rachitic kyphoscoliosis. THE DIAGNOSIS OF PREGXANCY. 99 the same shape as a pregnant womb, and the gravid uterus isoften anomalous in form. In twin pregnancies, in breech pre-sentations, in transverse positions, in some deformities of thefetus, in some varieties of contracted pelvis, and in the presenceof other tumors coincident with pregnancy, the pregnant uterusis altered in shape. Displacements of the uterus may also giveit an unusual appearance in pregnancy. Exaggt tion of the pigmentation around th


A textbook of obstetrics . Fig. 140. — 1 wins. Fig. 141.—Pregnant uterus distorted by rachitic kyphoscoliosis. THE DIAGNOSIS OF PREGXANCY. 99 the same shape as a pregnant womb, and the gravid uterus isoften anomalous in form. In twin pregnancies, in breech pre-sentations, in transverse positions, in some deformities of thefetus, in some varieties of contracted pelvis, and in the presenceof other tumors coincident with pregnancy, the pregnant uterusis altered in shape. Displacements of the uterus may also giveit an unusual appearance in pregnancy. Exaggt tion of the pigmentation around the nipples. Half-breed Indian squaw. (UniversityMaternity.) The umbilicus at the sixth month is level with the surface ofthe abdomen, and, later, pouts. It is surrounded by a ring of pig-mentation, which extends above as high as the fundus uteri, andbelow along the linea alba, which in pregnane} becomes the lineanigra (Figs. 142, 143). By a disorder in the arrangement of thefibers in the cutis there appear to be cracks in the skin of the ab-domen, especially toward the flanks, over the surface oi the iliacbones, and down upon the outer aspects of the thighs. If the ?oo PREGNANCY. pregnancy is far advanced, and if the fetus is alive, fetal movementsmay bo plainly seen. These are of two characters : there is aheaving movement of the fetal back, and a sharp, sudden tap ofthe fetal extremities. Fetal movements, if unmistakable, arepositive signs of pregnancy, but they have been simulated bytwitching of the abdominal muscles and by the vermiformmovem


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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics