The anatomy of labour : including that of full-time pregnancy and the first days of the puerperium : exhibited in frozen sections reproduced ad naturam / by A.H.F. Barbour.

  • Alexander Hugh Freeland Barbour
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: The anatomy of labour : including that of full-time pregnancy and the first days of the puerperium : exhibited in frozen sections reproduced ad naturam / by A.H.F. Barbour. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    from the decidua, the line ruiming in a circle although there is no bendin- at an angle between cervical canal and uterine cavity Macroscopic examination shows cervical surface to be characterised by cylindrical epithelium and glands, while decidua is scarcely recusable through the shrinking of its cells. The os internum is here therefore anteriorly 6 in. (1-5 cm.), posteriorly 1-8 in. (4-5 cm.), from the end of the canal. [Winter gives a woodcut of another frozen section. Death from embolism, pains having been present for some days. In it we see anteriorly -6 in. (1-5 cm.) of cervix still present, and os internum •8 in (2 cm.) from the upper end of canal; while posteriorly the cervix has gone and the os 1-6 in. (4 cm.) from the end of canal. He regards this taking up of the posterior lip before the anterior as not° abnormal, and sets it down to the angle which the uterus makes with the cervix in front.] The membranes are separated below anteriorly 1'8 in. (4*5 cm.) from os internum, and 2'6 in. (6-5 cm.) from end of canal; pos- teriorly, -4 in. (1 cm.) from os internum, and 2-12 in. (5-3 cm.) from end of canal—the line of separation running in a gentle curve convex upwards. The amnion is unruptured, but the chorion is torn through and retracted off it, so that its edge is-43 in. (1-2 cm.) from the middle line. A thin layer of blood seen underneath the membrane extending downwards from placenta and lifting mem- branes off the wall for 2-4 in. (6 cm.) in the middle line. Placenta is on posterior wall, chiefly on the right half; and bulges in humps into the cavity of the uterus, even touching anterior wall on the right side. A htematoma separates it from the wall, above almost to its edge, and below to within 1'6 in. (4 cm.) of it; it is central; on the right side has pierced placental tissue nearly to the fcetal surface ; and at right margin comes up to edge of placenta, where the blood has escaped through to beneath the membranes. About the half of the placenta is separated from its site. Liquor Amnii shows no meconium, though colour is greenish; mostly in upper part of uterus, though there is a thin layer of forewaters. Child in second breech position. Bladder empty, in the pelvis, attached to lower segment for 1 -8 in. (4'5 cm.). The intermediate tissue is lax and with much fat, broken up into layers close to bladder wall. Its union to vagina is firmer. I T -2