150 Diseases of the Genital Organs 



rectal walls are but feebly resistant and are readily in- 

 jured. With patience and care, the dislodgement can be 

 carried out per rectum though not so safely as per vaginam. 

 Artificial abortion is rarely advisable after the sixth 

 month, especially for the purpose of terminating a funda- 

 mentally undesirable pregnancy. It is safer in such cases, 

 and the loss of time is little, if any, greater to allow the 

 pregnancy to go full term and end in parturition. Should 

 occasion arise for inducing abortion late in pregnancy, it 

 would be necessary to resort either to breaking down the 

 uterine seal and douching the uterus, or to performing lapa- 

 rotomy, if the ovary of pregnancy has been dragged beyond 

 reach per rectum. If the vagina is clean, vaginectomy may 

 be performed as in spaying, the hand and arm inserted, and 

 the ovary thus reached. However abortion is induced, once 

 it has been completed, it is desirable to watch the progress 

 of the case and determine by examination of the genital or- 

 gans, including uterine douching, whether all is going well. 



