The principles and practice of obstetrics . e to this obliquity ofthe organ. But this is not sustained by facts. Without alludingfurther to the various opinions of writers, allow me to observe that,although, perhaps, difficult satisfactorily to explain, yet the factitself is interesting and important to be remembered. At the fourth month, the fundus of the organ is midway betweenthe symphysis pubis and umbilicus. At the fifth, it is on a level with the umbilicus; at this time thecervix is still higher in the pelvis, and inclined more backward. It THE PRINCIPLES AND PRACTICE OF OBSTETRICS. 159
The principles and practice of obstetrics . e to this obliquity ofthe organ. But this is not sustained by facts. Without alludingfurther to the various opinions of writers, allow me to observe that,although, perhaps, difficult satisfactorily to explain, yet the factitself is interesting and important to be remembered. At the fourth month, the fundus of the organ is midway betweenthe symphysis pubis and umbilicus. At the fifth, it is on a level with the umbilicus; at this time thecervix is still higher in the pelvis, and inclined more backward. It THE PRINCIPLES AND PRACTICE OF OBSTETRICS. 159 is not unusual for the pregnant female to complain at the fifth orsixth month of pain in the right side; this is often occasioned typressure of the ascending uterus against the liver. I have gene-rally been enabled to palliate the pain with an occasional mercurialpill, followed by a saline draught. It will usually, however, be moreor less annoying until the birth of the child. At the sixth month (Fig. 41), the fundus is two fingers breadth. Fig. month of gestation. Fig. month of gestation. above the umbilicus; and, at this period, the latter becomes partlyinverted with a partial disappearance of its cup-like fossa, and formsa slight prominence. This peculiar appearance of the umbilicus isworthy of recollection ; it has, under ordinary circumstances, somevalue as a sign of pregnancy, although I have seen it as the mereresult of abdominal tumors and advanced ascites. At the seventh month, the fundus has reached midway betweenthe umbilicus and the curve of the stomach ; at this time the umbi-lical fossa has completely disappeared, and the umbilicus itself, inconsequence of its inversion, forms a marked projection. The cer-vix is still more elevated and inclined posteriorly. At the eighth month, the fundus of the organ isiigh up in theepigastric region. There is now great prominence of the abdomen,with more or less oppression in breathing, in consequence of thepre
Size: 1761px × 1419px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1860, bookpubli, booksubjectobstetrics
