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Before entering the pelvis it is necessary for the foetus to be forced through the inlet to this cavity. This is the most difficult part of the birth, as the bones that form the framework of the pelvis completely enclose the entrance to it. It is only in the young mother that the pelvic bones give way slightly to the pressure on them by the foetus.
When the rent is confined to the anterior wall of the bladder the urine escapes into the pelvic tissues, and the prognosis is much more favorable. Bartels collected 54 such cases, 12 terminating favorably. When celiotomy is performed for ruptured bladder, in a manner suggested by the elder Gross, the mortality is much less.
The ovarian dermoid appears clinically as an abdominal or pelvic tumour provided with a pedicle; if the pedicle becomes twisted, the tumour undergoes strangulation, an event which is attended with urgent symptoms, not unlike those of strangulated hernia. The treatment consists in removing the tumour by laparotomy.
Sometimes the foetus is in a transverse position. The parts that present themselves at the pelvic inlet should be carefully examined and their position determined. The necessary assistance should then be given. Any delay in assisting in the birth may result in the death of the young or mother, or both.
Cycling is beneficial for women who can ride without pain or discomfort, and, according to Watkins, it is even beneficial in many diseased and disordered pelvic conditions, but excessive cycling is evil in its results on women, more especially by inducing rigidity of the perineum to an extent which may even prevent childbirth and necessitate operation.
Then, in the same way, examine the shoulder and back on the other side of the spine, noting, as before, every point, if there be any, where soreness and pain appear. After this, pass over the entire neck, then over the front parts of the thorax and abdomen, down to the pelvic bones, everywhere watching for soreness and pain. Next, go to the head.
The superfluous tissue of the gill-structures is used in the improvement of the ear and mouth-parts; a process that had begun in the Amphibian. The body is raised up higher from the ground, on firmer limbs; the ribs and the shoulder and pelvic bones the saddles by which the weight of the body is adjusted between the limbs and the backbone are strengthened and improved.
The uterus or womb is a membranous sack situated in the sublumbar region and at the inlet to the pelvic cavity. It is held in position by numerous folds of the lining membrane of the abdominal cavity. We may divide the womb into three divisions, cornua, body and cervix. The cornua or horns are long and cylindrical in shape.
Many intelligent Chinese are of opinion that its object is to promote the development of the sexual parts and of the thighs, and so to aid both intercourse and parturition. If there is any correlation between the feet and the pelvic regions, it is more probably congenital than due to the artificial compression of the feet.
Recently, in cases of dysmenorrhea, amenorrhea dysmenorrhagia, and like sexual disorders, massage or gentle flagellation of the parts contiguous with the genitalia and pelvic viscera has been recommended.
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