A successful operation was performed fifteen days after
the accident. Dupuytren speaks of the passage of an infant
through a central opening of the perineum. Capuron, Gravis, and
Lebrun all report accouchement through a perineal perforation,
without alteration in the sphincter ani or the fourchet. In his
"Diseases of Women" Simpson speaks of a fistula left by the
passage of an infant through the perineum. Wilson, Toloshinoff,
Stolz, Argles, Demarquay, Harley, Hernu, Martyn, Lamb, Morere,
Pollock, and others record the birth of children through perineal
perforations.
Birth Through the Abdominal Wall.--Hollerius gives a very
peculiar instance in which the abdominal walls gave way from the
pressure exerted by the fetus, and the uterus ruptured, allowing
the child to be extracted by the hand from the umbilicus; the
mother made a speedy recovery. In such cases delivery is usually
by means of operative interference (which will be spoken of
later), but rarely, as here, spontaneously. Farquharson and Ill
both mention rupture of the abdominal parietes during labor.
There have been cases reported in which the recto-vaginal septum
has been ruptured, as well as the perineum and the sphincter ani,
giving all the appearance of a birth by the anus.
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