INVERSION OF THE UTERUS.—Inver sion of the uterus is occasionally served as a complication. The uterine wall should be handled with care when efforts at reduction are made, pressure with finger-tips being avoided.
But 1 case of inversion of uterus met with in 190,000 labors at Rotunda Hos pital; 250,000 births were recorded in Vienna without a case. Case of patient who had three living children, but dur ing fifteen months preceding entrance into hospital she had miscarried four times between third and fourth month. On fifth day following last miscarriage she flowed freely, with sudden pain in abdomen, attended with collapse. She remained in bed six weeks. Two days after getting up she felt that something came down and endeavored to keep it back with a cloth. Examination detected inversion of uterus. The mucous mem brane of uterus showed no tendency to become dry and skin-like. Several days later uterus menstruated, which lasted four days. Under ether, reduction was
accomplished only by making free in cisions into the cervix and longitudinal incisions over uterine mucous membrane at region of internal os, in addition to continued pressure kept up on neck of swelling and over its surface. Patient. subsequently became pregnant and was delivered at term without trouble. A. W. W. Lea (Med. Chronicle, vol. viii, No. 3, p. 177, '9S).
SEETIC.rEMIA.—Septieremia frequently accompanies excessive haemorrhage. It may be revealed by foetidity of the lochia. The latter symptom is not in variably present, however, as no odor may be noticed, notwithstanding active septicemia. Chill and high temperature may be considered as the positive signs of infection.
Case in which abortion was followed by septic endometritis, salpingitis, gen eral peritonitis, and an abscess of each ovary. Dorsett (Weekly Med. Review, Feb. 14, '91).