A modern French author of great experience, (_Martin le Jeune_, p. 178,)
in enumerating the causes of retroversion, appears to take a similar view
of the subject, and places retention of urine very far down in his list.
"Sudden and violent contractions of the abdominal muscles and diaphragm in
attempting to vomit, to evacuate the bowels or bladder, or to lift heavy
weights; the throes during an abortion at an early period of pregnancy;
strong mental emotions; retention of urine; tumours in the neighbourhood
of the fundus, which by their weight or pressure force it backwards
towards the sacrum, are the causes which may produce a retroversion of the
uterus."
Retroversion may also come on gradually, from "the uterus remaining too
long in that situation which is natural to it when unimpregnated, namely,
with its fundus inclined backwards. This may depend on various causes;
such as too great width of the pelvis, or the pressure of the ileum full
of fæces on the fore part of the uterus. In this case the weight of the
fundus must gradually produce a retroversion, and she will be sensible of
its progress from day to day." (Burns's _Anat. of the Gravid Uterus_. p.
18.)
It will thus be seen how peculiarly liable the uterus is to retroversion
during the early months of pregnancy. At this time, the fundus is not yet
free from the weight of the superincumbent coils of intestine; and if from
any cause its ascent out of the pelvis be delayed beyond the usual time,
its liability to retroversion is still farther increased; for, not only
does the size of the fundus press it still farther backward, but any
sudden contractions of the abdominal muscles, or external violence, act
upon it with increased effect.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account