A manual of obstetrics . ficultyis purely mechanical, andthe remedy is patent. Asfar as possible the displace-ment must be corrected,after which the labor willprogress satisfactorily. Theaxis of an antedisplaceduterus may be made toapproximate more closelyto that of the parturientcanal by a firmly-appliedabdominal bandage; thatof a laterally deviated uterus may be straightened by a largecompress placed under the uterus while the patient liesupon that side to which the fundus is directed. Shoulda prolapsed uterus fail to assume its normal position duringthe progress of labor (Fig. 151), the use
A manual of obstetrics . ficultyis purely mechanical, andthe remedy is patent. Asfar as possible the displace-ment must be corrected,after which the labor willprogress satisfactorily. Theaxis of an antedisplaceduterus may be made toapproximate more closelyto that of the parturientcanal by a firmly-appliedabdominal bandage; thatof a laterally deviated uterus may be straightened by a largecompress placed under the uterus while the patient liesupon that side to which the fundus is directed. Shoulda prolapsed uterus fail to assume its normal position duringthe progress of labor (Fig. 151), the use of the forceps maybecome necessary to accomplish the delivery of the only treatment applicable to that rare condition, sac-culation of an incarcerated retrodisplaced pregnant uterus,is podalic version, extreme care being taken not to rupturethe immensely attenuated anterior wall. The feet in sucha condition arc generally just within the os, within readyaccess, and version may be accomplished with unusual Fig. 151.—Partial prolapse of the womb andhypertrophy of the cervix (Faivre). DYSTOCIA DUE TO TUMORS. 573 (^) Tumors—Uterine, Cervical, Pelvic, and Vaginal.—Avery serious obstruction to labor results when the partu-rient canal is blocked by neoplasmata, benign or malig-nant. These growths may be situated at any point in thebirth-canal, and when present generally constitute an insu-perable obstruction to the descent of the child. The bodyof the uterus itself may be the seat of fibromata or myo-mata of varying size. The degree of obstruction arisingfrom such tumors will depend largely upon their fibroid tumor of considerable size may be situated nearthe fundus, and, aside from the increased bulk therebyproduced, give rise to absolutely no trouble. Again, al-though situated in the lower uterine segment, if in theanterior wall of the uterus the tumor may be carried up-ward out of the pelvic cavity by the vigorous uterinecontractions, and labor pr
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
