In two of the cases the
forceps was used, but not on account of uterine inertia; the
fetal head was voluminous, and in one of the two cases internal
rotation was delayed. The placenta was always expelled easily,
and no serious postpartum hemorrhage occurred. Fraipont observed
the progress of pregnancy in several of these cases. The uterus
does not increase specially in its posterior part, but quite
uniformly, so that, as might be expected, the fundus gradually
detaches itself from the abdominal wall. Even if the adhesions
were not broken down they would of necessity be so stretched as
to be useless for their original purpose after delivery. Bands of
adhesion could not share in the process of involution. As,
however, the uterus undergoes perfect involution, it is restored
to its original condition before the onset of the disease which
rendered hysteropexy necessary."
The coexistence of an extensive tumor of the uterus with
pregnancy does not necessarily mean that the product of
conception will be blighted. Brochin speaks of a case in which
pregnancy was complicated with fibroma of the uterus, the
accouchement being natural at term. Byrne mentions a case of
pregnancy complicated with a large uterine fibroid.
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