A textbook of obstetrics . Fig. 126.—The cervix in the fifth monthof pregnancy (Leopold). Fig. 127.—The cervix in the seventhmonth of pregnancy (Leopold). intestines prolapse in front of the womb, giving a resonantnote on percussion all over the abdomen. A woman in myservice in the Philadelphia Hospital was told on this accountby the resident physi-cian that she was not y **>pregnant, but she gavebirth to a full-term childa few daws later. Alterations in the Cer=vix.—The cervix is soft-ened and somewhat hy-pertrophied during thefirst four months, butits canal is undilateduntil the first sta
A textbook of obstetrics . Fig. 126.—The cervix in the fifth monthof pregnancy (Leopold). Fig. 127.—The cervix in the seventhmonth of pregnancy (Leopold). intestines prolapse in front of the womb, giving a resonantnote on percussion all over the abdomen. A woman in myservice in the Philadelphia Hospital was told on this accountby the resident physi-cian that she was not y **>pregnant, but she gavebirth to a full-term childa few daws later. Alterations in the Cer=vix.—The cervix is soft-ened and somewhat hy-pertrophied during thefirst four months, butits canal is undilateduntil the first stage oflabor begins. Through-out the whole durationof pregnancy the canalremains unaltered inlength. The mucous g. Fig. 128.—The cervix in the ninth month ofpregnancy (Leopold . lands of the cervix secrete a peculiarly [86 PREGNANCY. tough mucus (mucous plug), which stops up the cervix like acork during pregnancy. Alterations in Vagina and Vulva.— The changes in these regions arc due mainly to an increased blood-supply, as noticed inenumerating the signs of pregnancy. Thus arc explained thedarkened color of the mucous membrane, the increased secretion,and the development in the muscular and mucous walls. The pelvic joints show a loosening of their connections andan increase in the motility of the pelvic bones, with the purposeof facilitating the passage of the fetal body in labor. The abdominal walls show a stretching of all the constitu-ent parts, with the formation of white, bluish, or reddish striae,due to thinning and disorder of the arrangement of the connec-tive-tissue layer of the skin, with atrophic changes. If thisstretching of the skin is painful, partial relief is afforded by inunc-
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
