Showing papers on "Labor Complication published in 1960"

Practical significance of uterine deformities during pregnancy and labour.

Abstract: It has become evident that if the precise nature of the deformity is known beforehand it is possible to toretell with some degree of accuracy which complications of pregnancy and labour are apt to occur in any particular case. It is difficult, however, to arrive at a definite anatomical diagnosis in the non-pregnant state and still more difficult during pregnancy. The presence of a uterine deformity may be suggested by the finding of a vaginal septum; and the diagnosis is based upon the findings on vaginal examination with palpation and inspection of the cervix; uterine palpation, exploration of the cervical canal and uterine cavity with a sound; hystero-salpingography; and, when the operation is necessary for some coincident condition, laparotomy. During late pregnancy the presence of a transverse foetal lie or of an oblique lie with the head or breech in one cornu and the feet in the other suggests that there may be a single but deformed uterine cavity; and the presence of a slender extended breech in a somewhat elongated uterus inclined to one side and a high presenting part suggests that there may be two separate, non-communicating uterine cavities. Palpation of the uterine cavity during manual removal of a retained placenta may give useful information about its conformation. The terminology used in describing cases of fusion deformities of the uterus should be informative and precise. The state of the uterine fundus, of the uterine cavity, and of the cervical canal should always be indicated in the descriptive term used in the records if this term is to be sufficiently comprehensive to be of value in future attempts to foretell the outcome of any particular case (Hunter, 1950).