Pathology and treatment of diseases of women . depthof its normal situation, onefinds the thick mass in theposterior vaginal finger penetrates with-out difficulty through the in-completely reformed cervix,which lies close to thesymphysis, and through the internal os to the site of attachment of the placenta at the anteriorwall which is directed upward. In the majority of the cases apper-taining thereto, which I have seen, the question is about the incom-plete detachment of the placenta situated at the anterior wall. I haveseen the retroflexion without such retention only three times,
Pathology and treatment of diseases of women . depthof its normal situation, onefinds the thick mass in theposterior vaginal finger penetrates with-out difficulty through the in-completely reformed cervix,which lies close to thesymphysis, and through the internal os to the site of attachment of the placenta at the anteriorwall which is directed upward. In the majority of the cases apper-taining thereto, which I have seen, the question is about the incom-plete detachment of the placenta situated at the anterior wall. I haveseen the retroflexion without such retention only three times, with aremarkable flabbiness of the uterus in otherwise healthy three had remarkably rapid labors, were primiparse, at the end ofthe first week of the puerperium and nursed their children. They hadfelt suddenly the symptoms of pressure in the pelvis after violent turn-ing around or on attempting to lift the crying child, lying next to them,without assistance. In incomplete expulsion of the placenta the treatment consists in a. Fig. 54.—Retroflexio Uteri Puerperalis with Incom-plete Expulsion of the Placenta, Attached to theAnterior Wall. 92 DISEASES OF WOMEN thorough scraping of the placental site. This offers, as a rule, no diffi-culty for the inserted finger. Curette or placenta forceps are uterus contracts powerfully after this, with bimanual massage, hotirrigation (50° C. = 122° F.) repeated subcutaneous injections of ergotin() or secale cornutum () per os. The uterus remains, as a rule, inthe replaced position. I have introduced a pessary during the first weekin two cases of retrodeviation of the uterus and allowed it to remain forfour weeks. B. If the cases which follow the puerperium do not come undertreatment so soon, that is during the second to the sixth week, so thatc ne cannot advance with the finger without effort to the placental site
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
