. Cyclopædia of obstetrics and gynecology. de Tocologle, vol. I., p. 704. ?^ Comp. R. Lambert: Des grossesses compliquees de niyomes uteriaes, Th6seParis, 1870, No. 268. 3 Lancet, 1867, p. 333. * Marion Sims : Uterine Surgery, p. 117. 5 Gazette des Hopitaux, 1869. « obstet. Transact., XVIII., p. 65. •> Obstet. Transact., London, XIV., p. 305. 8 Clinical Midwifery, London, 1843. * Cited by Demarquay et Saint Vel., p. 171. UTKUINE FIHROIDS. 30-5 uterus, was of specially largo kIzc. The ovum had been developed in theleft Fallopian tube. Nauss found the placenta aljnormally located in only IGou
. Cyclopædia of obstetrics and gynecology. de Tocologle, vol. I., p. 704. ?^ Comp. R. Lambert: Des grossesses compliquees de niyomes uteriaes, Th6seParis, 1870, No. 268. 3 Lancet, 1867, p. 333. * Marion Sims : Uterine Surgery, p. 117. 5 Gazette des Hopitaux, 1869. « obstet. Transact., XVIII., p. 65. •> Obstet. Transact., London, XIV., p. 305. 8 Clinical Midwifery, London, 1843. * Cited by Demarquay et Saint Vel., p. 171. UTKUINE FIHROIDS. 30-5 uterus, was of specially largo kIzc. The ovum had been developed in theleft Fallopian tube. Nauss found the placenta aljnormally located in only IGout of 241 easesof myomata. Placenta praevia occurred twice. The placenta wassituated very deeply in three cases. In eight cases the placenta was situatedentirely or in great part upon the tumor, and, in three instances, a smallportion of it was located upon the neoplasm. In eight of the last-men-tioned cases sub-mucous tumors were present. It is at least probable thatthreatening hemorrhages, and perhaps gangrene of the tumor, in the. Fig. 28.—Large Uterine Fibroids and Tubal Pkegnanuv. (After G. Harley.) puerperal state, may occur, with special frequency, after the expulsion ofa placenta thus abnormally situated. Michauk ^ describes a deficiency in the membranes as large as a saucer,produced by their adhesion to a sub-mucous fibroid and the consequentretention, in utero, of a part of their tissues. Morbid changes in the foetus, referable to these tumors, are rarely dis-coverable during pregnancy. Gussmann* saw death of the foetus resultfrom premature separation of the placenta produced by a fibroid. So long as the amniotic cavity is intact and the foetus is alive, or evenwith a dead foetus, so long as the liquor amnii has not materially dimin-ished in quantity, a fibroid can liave but little influence on the shape London Obstet. Transact., vol. I., p. 101. - Chadwick (Transactions of the Am. Gynecol. Soc, vol. I., p. 255) found eightcases of placenta pi-aevia complicated w
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