File:A system of obstetrics (1888) (14771635655).jpg

Identifier: systetri02hirs (find matches)
Title: A system of obstetrics
Year: 1888 (1880s)
Authors: Hirst, Barton Cooke, 1861-1935
Subjects: Obstetrics
Publisher: Philadelphia, Lea brothers & co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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r-istic utricular gland- of the uterinemucous membrane. This process re-quire- -nine time. Mayor says :()iithe twenty-fourth day after deliveryI have not found glands in the regionof the placental insertion. The mu-cous membrane, although reconstruct-ed at the second month, is then fur-nished with fewer glands, less regu-larly disposed and of a greater cali-bre, than in the normal state. The uterus is not the only organof the sexual system that experiencesa retrograde change after labor. Theovaries and tube-, the broad andround ligaments, the pelvic connec-tive tissue, blood-vessels and lym-phatics, all undergo modification.That portion also of the birth-canal—the lower uterine segment, thecervix, the vagina, and the vulva—which is dilated to an extreme de-rive to allow the passage of the fetalbody, must likewise be subjected torapid involution to regain it- wontedtone and calibre. (n these structuresth<- process is mainly one of retractionf* overstretched tissue ; but there i-
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CoaeT. W-x Cerrt \ Rr.et i Section of ■ Puerperal (Jterni Inthe iir-t twenty-four hours (Bencklsserand Hofmeler). 111 addition a certain amount oidegeneration and atrophy of the redundant cells that 1,1 -supply and increased stimulus to into existence. Particularly is this tiand cervix, which icuiany isin their inv< llth ceiis tnat the increasedgrowth of pregnancy called tie I the lower uterine segment11 iii-t display an intermediate 468 COMPLICATIONS OF THE PUERPERAL STATE. process between that by which the reduction of the uterine body iseffected and that by which the lower portion of the parturient tractregains its normal state. The involution of the uterine adnexa will progress satisfactorily ifthe uterine involution itself is normal. The reduction of the over-stretched vagina and vulva is sure to occur if these parts have not beenseriously lacerated, although, like all overstretched muscular canals,they never quite return to their original calibre. The clinical study,therefo

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