Hunter speaks of a case of pregnancy in a woman with a
double vagina, who was delivered at the seventh month by the
rectum. Mekeln and Andrews give instances of parturition through
the anus. Morisani describes a case of extrauterine pregnancy
with tubal rupture and discharge into the culdesac, in which
there was delivery by the rectum. After an attack of severe
abdominal pain, followed by hemorrhage, the woman experienced an
urgent desire to empty the rectum. The fetal movements ceased,
and a recurrence of these symptoms led the patient to go to
stool, at which she passed blood and a seromucoid fluid. She
attempted manually to remove the offending substances from the
rectum, and in consequence grasped the leg of a fetus. She was
removed to a hospital, where a fetus nine inches long was removed
from the rectum. The rectal opening gradually cicatrized, the sac
became obliterated, and the woman left the hospital well.
Birth Through Perineal Perforation.--Occasionally there is
perineal perforation during labor, with birth of the child
through the opening. Brown mentions a case of rupture of the
perineum with birth of a child between the vaginal opening and
the anus. Cassidy reports a case of child-birth through the
perineum.
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