The student's guide to the diseases of women / by Alfred Lewis Galabin.

  • Galabin, Alfred Lewis, 1843-1913.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: The student's guide to the diseases of women / by Alfred Lewis Galabin. Source: Wellcome Collection.

    106/434 (page 88)
    patient to retain her urine, if possible, for several hours while in this position, so that the moderately distended bladder may push the fundus backward. In this, as in other displacements, all tight clothing should be forbidden, and the skirts should be sua pended from the shoulders. When any abdominal laxity exists, and even when this is not the case if the uterus is much enlarged, an elastic abdominal belt,,; with a pad to press above the pubes, often gives gnat relief. It acts partly by directly pushing the fundus backward and partly by diminishing the mobility of the viscera, and keeping up a gentle pressure upon the pelvic organs. It is thus often of value in cases of hyperemia, even without any displacement. Most vaginal pessaries for anteversion or anteflexion! have a double action, like those for retroflexion. Bjl pressure on the anterior vaginal wall they directly push up the fundus, and at the same time they render that wall arched, and so shorten it by bringing its extremities nearer together, and thereby draw the cervix forward (Figs. 33 and 37). The base of the bladder! liable to extraordinary displacements in married women. It is, therefore, generally desirable, when anteversion is moderate, to try first the effect of treatment adapted to any concomitant hyperemia or hyperplasia, combined with the general measures already mentioned, and to use a pessary only if such Pig. 32.—Cradle Pessary. however, appears to. ha more vulnerable to injury; from any considerable pres- sure than the posterior cul-de-sac, and all these pessaries not only adapt! themselves less naturallyi to the vagina than Hodge's! pessary, but, by occupying] mainly the lower part on that canal, form an ob- stacle to coitus, and are