SPONTANEOUS HEALING IN A VESICO-UTERINE FISTULA FOLLOWING LABOR

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Abstract
The patient here discussed was first seen by me after she had been in labor for sixty hours, with the bag of waters ruptured at the onset of the pains. In the interim an ampule of pituitary extract had been administered and had given rise to intense pain. During this time numerous vaginal examinations had been made without attention to asepsis. The patient was sent to the hospital, where vaginal examination revealed a long, soft, cuff-like cervix with an os of 5 cm. The head was not engaged, and the sagittal suture was in the transverse diameter. A number 3 Voorhees bag, which was inserted and ballooned, was expelled after fifty minutes and the cervix was almost completely dilated but not wholly effaced. On account of the rapidity of fetal heart tones, the atonicity of the uterine musculature and the weakened condition of the mother, labor was terminated at once.

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