A textbook of obstetrics . Fig. 125.—The relation of the pregnant uterus at term to the intestines. After the third month, as the womb rises into the abdominalcavity, the laxity of the abdominal wall allows it to fall some-what forward, so that the anteflexion persists to a certain degree,but diminishes as the womb increases in length. In consequenceof the position of the sigmoid flexure and rectum, almost alwaysdistended in constipated women, the uterus is tilted to the rightside and is rotated on its longitudinal axis, so that the anteriorsurface looks toward flu- right, and the left broad l
A textbook of obstetrics . Fig. 125.—The relation of the pregnant uterus at term to the intestines. After the third month, as the womb rises into the abdominalcavity, the laxity of the abdominal wall allows it to fall some-what forward, so that the anteflexion persists to a certain degree,but diminishes as the womb increases in length. In consequenceof the position of the sigmoid flexure and rectum, almost alwaysdistended in constipated women, the uterus is tilted to the rightside and is rotated on its longitudinal axis, so that the anteriorsurface looks toward flu- right, and the left broad ligament, withits attached structures, becomes more accessible to abdominal pal- THE PHYSIOLOGY (>/? PREGNANCY. 18 pation. The topographical relation of the intestines is impor-tant. The\- should always be situated above and behind theuterus, thus giving no resonance over the anterior abdominal wallon percussion ; but in rare eases of excessive tympany the. 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
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
