A textbook of obstetrics . kcompress in direct relation with the anterior uterine wall, thuscrowding the whole organ backward, instead of adjusting itover the fundus of the uterus, where it maintains a condition 1 Five cases of puerperal hemorrhage due to uterine displacement an- reportedby Gr&fe in Zeitschrift I. Geburtsh., xii, 328. PI TERPERA L HEMORRH. 1GES. 597 of anteversion, and by constant pressure promotes firm contrac-tion and rapid involution. Retroversion and retro Hex ion maypersist after premature delivery, if these displacements existedduring pregnancy. Neglect to empty the blad
A textbook of obstetrics . kcompress in direct relation with the anterior uterine wall, thuscrowding the whole organ backward, instead of adjusting itover the fundus of the uterus, where it maintains a condition 1 Five cases of puerperal hemorrhage due to uterine displacement an- reportedby Gr&fe in Zeitschrift I. Geburtsh., xii, 328. PI TERPERA L HEMORRH. 1GES. 597 of anteversion, and by constant pressure promotes firm contrac-tion and rapid involution. Retroversion and retro Hex ion maypersist after premature delivery, if these displacements existedduring pregnancy. Neglect to empty the bladder at properintervals may be found a cause in some cases. The diagnosis is easy if a careful physical exploration ismade; and it should be an invariable rule to make a carefulvagina] examination in every case of puerperal hemorrhage. Itis not rare to find some portion of the ovum or blood-clotsretained within the uterine cavity in consequence of the steno-sis bv angulation of the cervical It is, therefore, not. Fig. 457.—Anteflexion. Websters section from a case of death from eclampsiaabout thirty-six hours after delivery: a, Fundus; />, bladder ; c, symphysis pubis;J, promontory ; e, cervix ; /, pouch of Douglas ; g, vagina. sufficient to rest satisfied with the diagnosis of displacement inpuerperal hemorrhage, but it is necessary to be sure that there isnothing retained within the uterus. It should be rememberedthat there may be no hemorrhage, but, for a time, suppressionof the lochia, with displacements of the womb. Occasionally, ifthe dislocation occurs acutely, it may be associated with gravesymptoms, as intense pain, a condition verging on shock, andhigh fever, these symptoms disappearing immediately upon thereposition of the womb. 1 Femley, British Med. lour. 1888, ii, 739. 59S Pa tiioi. og \ of the pc erperil j/. The treatment of puerperal hemorrhage due to a displaced uterus is the rectification of the displacement, which is occasion-alls followed by the
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