If we examine a large number of women with reference to visceral prolapse, we shall find that we may divide them roughly into two groups: first, those who Were originally of vigorous build and whose organs were normally or nearly normally placed, but who have given way to child-bearing, excessive hard work or other untoward influences and now present, aside from certain well-marked outward physical signs, more or less sagging of some of their organs; and, second, those who are of the true or essential type, in whom certain fundamental defects in constitution play the chief rôle in causation. For the sake of clearness in this study we shall dismiss the former division, with the brief statement that the prolapse in this class is seldom or never excessive, whereas in the essential or primary form we find it of varying but often of extreme degree. It might be added that
SMITH RR. A STUDY OF CHILDREN WITH REFERENCE TO ENTEROPTOSIS. JAMA. 1912;LVIII(6):385–392. doi:10.1001/jama.1912.04260020069001
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