. Diseases of women. A clinical guide to their diagnosis and treatment. UTERINE DISPLACEMENTS: PROLAPSE. 117 The first, in which the cervix uteri comes down, but notbeyond the vulva (Fig. 28). The second, in which the cervix is outside the vulva, butthe body of the uterus is within it (Fig. 29). The third, in which the whole uterus is Fig. 27.— Cradle pessary in position. (Graily Hewitt.) This division is not arbitrary. In the first degree theuterus is generally healthy, except that it comes lower thanit ought to. Elongation of cervix.—In the second stage four othermorbid changes ar
. Diseases of women. A clinical guide to their diagnosis and treatment. UTERINE DISPLACEMENTS: PROLAPSE. 117 The first, in which the cervix uteri comes down, but notbeyond the vulva (Fig. 28). The second, in which the cervix is outside the vulva, butthe body of the uterus is within it (Fig. 29). The third, in which the whole uterus is Fig. 27.— Cradle pessary in position. (Graily Hewitt.) This division is not arbitrary. In the first degree theuterus is generally healthy, except that it comes lower thanit ought to. Elongation of cervix.—In the second stage four othermorbid changes are brought about: (a) (Edema. The cervixis embraced by the vulval orifice; and the effect of this is toobstruct the return of blood from the part outside whichbecomes swollen and oedematous (Fig. 30). (b) Change in themucous membrane. Evaporation takes place from the exposedsurfaces of vagina and cervix, which become dry and scaly, more 118 DISEASES OF WOMEN. like a patch of psoriasis than either healthy skin or healthymucous membrane, (c) Ulceration. The exposed part issubject to friction from the patients thighs and clothing; and
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