Cases have now and then been met with where the retroversion of the uterus
has continued to an advanced period of pregnancy without producing serious
injury to the patient: Dr. Merriman has even recorded some, where the
uterus has continued in this state up to the full term. Some of these had
been actually published as cases of ventral pregnancy; but for their
history he has shown that they evidently were cases of retroversion: the
patient had been subject to occasional suppressions of urine and
difficulty in passing fæces; these symptoms had gradually diminished as
pregnancy advanced; the os uteri could not be felt, or, if it were
capable of being reached, was found high up behind the pubes, the head of
the child forming a large hard tumour between the rectum and vagina. The
condition of the vagina afforded strong evidences of the nature of the
complaint: on introducing the finger in the usual direction, it was
stopped, as if in a cul-de-sac: but on passing it forwards, the vagina was
found pulled up behind the symphysis pubis. In some of these cases the
uterine contractions gradually restored the fundus to its natural
position: the os uteri descended from behind the symphysis, and the child
was born after long protracted suffering; in others, which have been
mistaken for ventral pregnancy, the fundus has inflamed and ulcerated, and
the child has been gradually discharged by piecemeal.
CHAPTER VII.
DURATION OF PREGNANCY.
There are few questions of great importance and interest respecting a
subject under our daily observation, about which such uncertainty and so
much diversity of opinion exists, as the duration of human pregnancy; and
yet, as is the case with the diagnosis of pregnancy, upon a correct
decision frequently depend happiness, character, legitimacy, and fortune.
In like manner it frequently happens, that the data upon which we have to
found our opinion are exceedingly doubtful and obscure; and to increase
the difficulties of the investigation still farther, we have not
uncommonly to contend with wilful deception and determined concealment.
The duration of pregnancy must ever remain a question of considerable
uncertainty so long as the data and modes of calculation vary so
exceedingly. "Some persons date from the time at which the monthly period
intermits; others begin to calculate from a fortnight after the
intermission; some reckon from the day on which the succeeding appearance
ought to have become manifest; some are inclined to include in their
calculation the entire last period of being regular; and others only date
from the day at which they were first sensible of the motions of the
infant."[58]
Public-domain text, read in full here on John Shaqi.
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