INVERSION OF THE VAGINA DURING PREGNANCY 95 



weeks, with necrosis of the whole mucosa, did not produce any 

 constitutional derangement. 



A cow suffering with prolapsus vaginas for three weeks was 

 to be slaughtered. She was not only perfectly well, but the 

 owner also stated that her general condition within the last few 

 weeks had not suffered any. His anxiety was not caused by the 

 prolapsus itself, but by the morbid changes taking place in the 

 inverted portion ; as a result of necrosis, it had become black. 

 After slaughter the cow proved to be with calf since six months. 

 This shows how well a cow may endure such an inversion. 



With regard to a complete recovery, prognosis is not 

 always favorable. When the prolapsus disappears immediately 

 after parturition, many think that complete recovery has taken 

 place. As soon as direct causes present themselves again— for 

 instance, pressure from distended intestines, well advanced 

 pregnancy — inversion puts in its appearance. It is understood 

 that a predisposing factor, as mentioned in the discussion of 

 the getiology, is present. At the same time, we must admit that 

 by proper food and nursing a good deal can be done toward 

 prevention in the future. 



Therapeutics. — The presence of a prolapsus vaginas, which 

 does not disappear spontaneously when the cow rises, calls for 

 its reposition. Previously it must be cleansed thoroughly. 

 The dirt, usually fasces, is washed off with clean water ; the 

 labile, tail and thighs are cleansed with soap and warm water. 

 While doing this, the animal is standing. Now the inverted 

 vagina is treated with antiseptic agents, as 2 to 3 per cent, 

 solution of creolin, 2 per cent, solution of carbolic acid or alum. 

 The latter is to be recommended as a cheap and efficient 

 astringent. Keposition is next practiced. One usually succeeds 

 by pressing in an upward and forward direction with the 

 whole hand upon the inverted parts. Should it not suffice, it 

 is well to change the position of the animal by raising the hind- 

 legs higher than the fore-legs and thus removing the pressure 

 exerted upon the pelvic organs by the abdominal viscera. The 

 prolapsus is now pushed forward by placing one hand on each 

 side of it. It might be well to cover the hands with a clean 





