File:Cyclopædia of obstetrics and gynecology (1887) (14767182681).jpg

Identifier: cyclopdiaofobs02gran (find matches)
Title: Cyclopædia of obstetrics and gynecology
Year: 1887 (1880s)
Authors: Grandin, Egbert H. (Egbert Henry), b. 1855, ed Bandl, Ludwig Billroth, Theodor, 1829-1894 Börner, Ernst, 1843-1914 Breisky, A Charpentier, Arthur Louis Alphonse, 1836-1899 Chrobak, Rudolf Gusserow, A Hegar, A. (Alfred), 1830-1914 Kaltenbach, Rudolph, 1842-1896 Müller, Peter, 1836-1922 Olshausen, Robert Michaelis von, 1836-1915 Winckel, F Zweifel, Paul
Subjects: Obstetrics Women Gynecology Obstetrics
Publisher: New York, W. Wood & Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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om renal pains and dysuria. The fcetus isnot within reach and delivery is difficult. But anteversion may occur during the first months of pregnancy (Fig.14,) before the uterus has risen from the true pelvis, and it is in thesecases that it really becomes pathological. Hiiter has examined it, particularly from this point of view. Eecalling the observations of BaudelocqUe, Chopart, Ashwell, Boivin,Hachmann, Welcke, Godefroy and adding two cases of his own, he distin-_guishes three degrees of anteversion. First Degree.—This is about the normal state. The longitudinal uter-ine axis forms a very acute angle with the pelvic axis. DISEASES OF PREGNANCY. 203 Second Degree.—The fundus approaches the synipliysis but does notreach it. The angle formed by the two axes is less acute. Third Degree.—The fundus reaches the symphysis. The angle is al-most a right angle. The portio vaginalis of the cervix is carried more orless backward toward the posterior pelvic wall. It is very rare to see the
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Fig. 12.—Anteversion op the Uterus. (After Legendre.)—A, Bladder. B, Rectum. C, Body ofuterus. D, Vaginal orifice. E, Symphisis pubis. F, Anus. G, Sacrum. H, Left labium minus./, Clitoris, root of corpus cavernosum, cut across. J, Left labium majus. K, Meatus urinarius.i, Pyramidalis muscle. M, Rectus abdominis. N, Anterior peritoneal cul-de-sac. 0,Vesico-uterinecul-de-sac. P, Retro-uterine cul-de-sac. B, Levator ani. S, External sphincter. T, Internal sphinc-ter. U, Anterior lip of cervix. F, Posterior lip. X, Coccyx. F, Venous plexus of Santorini. Z,Venous plexus of vagina, a, Muscular tunic of the bladder and urethra. 6, Muscles of rectum, d,Fibro-cellular vaginal tunic, e, Fiftk lumbar vertebra. /, Uterine cavity, g. Section of uterineveins, h, Rachidian canal. cervix remaining in front, except in the case where there is, simultane-ously, anteversion and anteflexion. It is, usually, during labor that thisresult is brought about by the influence of the pains. At the same timeth

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