A nurse's handbook of obstetrics, for use in training-schools . abdomi-nal cavity. Neither tubal nor interstitial pregnancy ever goes onto the full development of a living child, but occasionally, whenthe ovum falls into the cavity of the abdomen, the placentaattaches itself to some viscus and the fcetus develops to fullterm and is removed by abdominal section. In all cases of ectopic gestation the woman exhibits, to acertain degree, the usual early symptoms of pregnancy, and, as ECTOPIC PREGNANCY. 93 a rule, regards herself as being normally with child. The uterusenlarges somewhat, the irrita
A nurse's handbook of obstetrics, for use in training-schools . abdomi-nal cavity. Neither tubal nor interstitial pregnancy ever goes onto the full development of a living child, but occasionally, whenthe ovum falls into the cavity of the abdomen, the placentaattaches itself to some viscus and the fcetus develops to fullterm and is removed by abdominal section. In all cases of ectopic gestation the woman exhibits, to acertain degree, the usual early symptoms of pregnancy, and, as ECTOPIC PREGNANCY. 93 a rule, regards herself as being normally with child. The uterusenlarges somewhat, the irritability of the bladder and the breastsymptoms appear, and the patient suffers more or less from morning sickness. Her menstruation may cease entirely, butthere is usually a slight flow at each monthly period due to con-gestion of the lining membrane of the uterus. This may be onlyenough to stain the napkin for one day, and although such a show may occur in the early part of a normal pregnancy, itis entirely unnatural and sufficiently suspicious to warrant the. Fig. 34.—Ectopic gestation. Tubal variety, ruptured at the end of the third month:A, uterus from behind with several small fibroid tumors in its wall; B, right ovary; C,ruptured tube ; D, left ovary; E, foetus. nurse in sending for the physician or at least advising him ofits appearance. As the ectopic gestation advances there will be considerablepain of a sharp, shooting character on the side of the affectedtube and extending down the leg. This pain is due to thestretching of the tissues of the tube or uterine wall, and any suchcombination of pain and slight bleeding should be brought tothe notice of the medical attendant without delay. In abdominal pregnancy the condition may not be recognized 94 A NURSES HANDBOOK OF OBSTETRICS. until the case has gone on to full term, when, as labor does notoccur, a careful examination will disclose the true state of unrecognized abdominal pregnancy the child will die, andm
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