. An American text-book of obstetrics. For practitioners and students. e knee-breast posture and by inserting 560 AMERICAN TEXT-BOOK OF OBSTETRICS. the whole hand into the vagina. If this treatment is instituted in pregnancy, itshould be followed by the insertion of a large tampon or a globe pessary andby prolonged rest in bed ; in labor the presenting part should immediately bebrought down past the hernial ring. If there are adhesions about the latter,preventing the reduction of the hernia, the tumor should be supported andheld to one side by assistants while the child is artificially extract


. An American text-book of obstetrics. For practitioners and students. e knee-breast posture and by inserting 560 AMERICAN TEXT-BOOK OF OBSTETRICS. the whole hand into the vagina. If this treatment is instituted in pregnancy, itshould be followed by the insertion of a large tampon or a globe pessary andby prolonged rest in bed ; in labor the presenting part should immediately bebrought down past the hernial ring. If there are adhesions about the latter,preventing the reduction of the hernia, the tumor should be supported andheld to one side by assistants while the child is artificially extracted by forcepsor after version. Should the sac rupture and the intestines protrude, the childmust be delivered hastily, the intestines be cleansed thoroughly and replaced,and the opening be sewed up. In the case of a very large irreducible vaginalhernia the writers preference would be for Cesarean section in a labor atterm. Other growths or tumors in the pelvic inlet and cavity obstructing laborhave been fibrocystic tumors of the ovarian ligament, requiring an abdom-.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1