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December 30, 1911


Author Affiliations

Professor of Gynecology, College of Medicine, State University of Nebraska OMAH

JAMA. 1911;LVII(27):2131-2134. doi:10.1001/jama.1911.04260120321013

Of The malpositions of the uterus, descensus is most often encountered. This applies as well to the early pregnant uterus in descensus of moderate degree. It is well known that a moderate degree of descensus uteri is not incompatible with pregnancy and with normal delivery, but complete prolapse of the gravid uterus is rarely seen and ha never been observed at full term. A number of cases have been so recorded, but it is believed that in these cases the edematous, elongated cervix and inverted vaginal walls have been mistaken for the uterus in its entirrety (Braun-Fernwald1). In Plasse's case the patient went to the seventh month of gestation. No other reported case has developed to this degree. In this instance the fetus was macerated.

The first noteworthy contribution to the subject was by Hüter2 in 1860; the next by Franke,3 who brought the total of reported