File:The principles and practice of obstetrics (1864) (14803050533).jpg

Identifier: 67240830R.nlm.nih.gov
Title: The principles and practice of obstetrics
Year: 1864 (1860s)
Authors: Hodge, Hugh L. (Hugh Lenox), 1796-1873
Subjects: Obstetrics Obstetric Surgical Procedures Pregnancy
Publisher: Philadelphia : Blanchard and Lea
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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to have obstructed labor. The diagnosis must bo very uncertain, and the treatment should be conducted as recommended for hard tumors of the ovaries. j tumors do not always prevent fecundation,cially when their pedicles are. attached to the osand cervix uteri. If the polypus be intra-uterine, ges-tation seldom occurs. In several such cases, whichhave occurred to the author, in married women, therewas no impregnation. In one case, a lady, who had been married for several years, without children, ilarge polypus was detected within the organ, ami re-moved; she soon after conceived, and did well. During gestation, polypi may exist, and continue tobe developed until the full period, without muchrent injury. In other cases, the irritation and thehemorrhage, which they usually excite, bring on abor-tion or premature labor. During labor, polypi may render the process tedious,difficult, or impracticable, according to their size; andsometimes they increase the exhaustion of the patient Pig. 107.
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Dystocia from a Polypus.—A. Tho Polypus. B. The Posterior Wall of tho Vagina. from the hemorrhage, which usually accompaniesthem, especially if their pedicle should be accidentallyruptured. The diagnosis is not difficult. A hard, smooth tumoris found in the vagina, or within the cervix uteri,around which the finger can be completely passed,showing that no adhesions exist, except by its pedicleattached to the os uteri, or within the cavity of theorgan. It thus can be readily distinguished from allthe tumors which have been mentioned, and alsofrom fungous growths, cancerous, or other morbidproductions. The treatment, during gestation, must be regulated1 <y circumstances. As a general rule, no operation oughtto be performed, for fear that abortion might be ex-■r that the mothers dangers would be enhanced.If, however, the mother be exhausted, from the leucor-rhceal and hemorrhagic discharges, her danger might• lied by ligating the polypus, and afterward, if necessary, removing th

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