Among many, the following modern observers have also
reported instances of pregnancy with hymen integrum: Braun, 3
cases; Francis, Horton, Oakman, Brill, 2 cases; Burgess, Haig,
Hay, and Smith.
Instances in which the presence of an unruptured hymen has
complicated or retarded actual labor are quite common, and until
the membrane is ruptured by external means the labor is often
effectually obstructed. Among others reporting cases of this
nature are Beale, Carey, Davis, Emond Fetherston, Leisenring,
Mackinlay, Martinelli, Palmer, Rousseau, Ware, and Yale.
There are many cases of stricture or complete occlusion of the
vagina, congenital or acquired from cicatricial contraction,
obstructing delivery, and in some the impregnation seems more
marvelous than cases in which the obstruction is only a thin
membranous hymen. Often the obstruction is so dense as to require
a large bistoury to divide it, and even that is not always
sufficient, and the Cesarean operation only can terminate the
obstructed delivery; we cannot surmise how conception could have
been possible. Staples records a case of pregnancy and
parturition with congenital stricture of the vagina. Maisonneuve
mentions the successful practice of a Cesarean operation in a
case of congenital occlusion of the vagina forming a complete
obstruction to delivery.
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