A textbook of obstetrics . - at first sight appears serious, 5 54 THE PATHOLOGY OT LABOR. there is no hemorrhage in consequence of it, nor is the puerperalconvalescence disturbed. This accident could almost always beaverted by multiple incisions in the cervix. Lacerations of the Vagina.— The vagina may be torn by theinsertion of the hand, by the rapid extraction of the child, by. Figs. 419 and 420.—Authors cases t annular detachment of the cervix. tin- extension f tears trom the cervix, by the propulsion of the childs body against the posterior wall without sufficient deflec-tion forward to fa
A textbook of obstetrics . - at first sight appears serious, 5 54 THE PATHOLOGY OT LABOR. there is no hemorrhage in consequence of it, nor is the puerperalconvalescence disturbed. This accident could almost always beaverted by multiple incisions in the cervix. Lacerations of the Vagina.— The vagina may be torn by theinsertion of the hand, by the rapid extraction of the child, by. Figs. 419 and 420.—Authors cases t annular detachment of the cervix. tin- extension f tears trom the cervix, by the propulsion of the childs body against the posterior wall without sufficient deflec-tion forward to facilitate its escape from the vulvar orifice, and,most frequently of all, by the blade of a forceps which does notfit the childs head properly, or which is not used with sufficient LABOR t OMPL /(\ 1 TED BY ACCIDENTS AND DISE. tSES. 555 care as to the direction of the force that is applied in the extrac-tion of the head. The tears of the vagina accompanying a lacerated perineumor injured pelvic floor are described under the latter heading. Tears of the vagina extending from the cervix involveusually the lateral vaginal vaults, occasionally opening deeprents into the base of the broad ligaments, and involving possiblythe uterine arteries or even the ureters. The hemorrhage fromthese tears is best controlled by ligating the bleeding vessels ifthey can be fo
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