Transactions of the American Gynecological Society Volume . 13
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. 1888 edition. Excerpt: ...cases on first rising from bed, an effect probably increased by its being contemporary with relief of the bladder; the fact that, as a rule, the sickness of gravidity so generally becomes modified or cured when the uterus rises into the abdomen a little before the middle of pregnancy, which is just what we should expect if the hypothesis be true. These facts in the history of pregnancy-sickness are certainly not in opposition to it. The conclusion suggested is substantially in agreement with the opinion of Desormeaux, expressed some years ago, that the vomiting is due to interference with expansion of the uterus. The cases related in this paper appear to show that there are two factors which principally contribute to this interference with uterine expansion. 1. Incarceration of the uterus in the pelvis associated with flexion or version; and 2. Undue hardness and rigidity of the tissues of the cervix and around the os internum. Also that these two factors are in most cases associated. Tkeatment.--The main question as regards treatment concerns those cases in which the vomiting is so severe as apparently to imperil life, and in which ordinary measures have been unavailingly employed. The cases in question are, in fact, those in which the dernier ressort--induction of abortion--is the only alternative. This operation, itself not devoid of danger, would naturally be avoided if possible. The clinical facts above related support the view that an effectual restoration of the body of the uterus to its proper position is usually needed in these cases, and that it will prove to be a real and substantial remedy for the severe vomiting of pregnancy. Reposition of the uterus and relief of incarceration or detention of the uterus in the pelvis, may be...
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