An American Text-Book of Obstetrics; For Practitioners and Students

An American Text-Book of Obstetrics; For Practitioners and Students

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1895 edition. Excerpt: ... partu are reported, with only one death (Jahretb. it. d. Fortuch. a. d. Gebiete der Geburtsh., etc., vol. v. p. 175). Fio. KiK.--Small fibroid past which the child was extracted. The tumor became gangrenous and the woman died (Simpson). It is, unfortunately, a common error to overlook a fibroid tumor obstructing the pelvis in labor or to mistake it for the fetal head. The woman is allowed to die of ruptured uterus, exhaustion, or hemorrhage while the physician is waiting for the descent of the presenting part or is endeavoring to apply the forceps to what he takes to be the head. Ordinary care and some little experience in making obstetrical examinations should guard a practitioner against such an egregious mistake. The prognosis of labor complicated by a fibroid tumor depends upon the early recognition of the growth and upon the treatment. In general practice the results have hitherto been bad. Nauss found a maternal mortality of 54 per cent, among 225 women, and an infantile mortality of 57 per cent, in 117 cases. Susserott found in 147 cases a maternal mortality of 50 per cent, and an infantile mortality of 66 per cent.22 A fibroid tumor may prolapse into the pelvis after the birth of the child and prevent the delivery of the placenta. In Lefour's statistics of 300 cases of fibroids complicating labor the mortality of delivery by the natural passage was 25 to 55 per cent, for the mothers, 77 per cent, for the children.23 Polypi.--Polypoid tumors obstructing labor usually spring from the cervical canal or the anterior lip, and are mucous in character. They may, however, be fibromyomatous, fibrous, or sarcomatous, and may have a situation high in the uterine cavity or in its wall. They may increase very markedly in size during pregnancy. Their...
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Product details

  • Paperback | 490 pages
  • 189 x 246 x 25mm | 866g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236560035
  • 9781236560032