INVERSION OJj' THE VAGINA DURING PREGNANCY 91 



camphor, ammoniacal liniments, etc. Although this is not 

 detrimental — in fact, may slightly stimulate circulation — this 

 treatment may be safely omitted, unless it serves to treat the 

 owner rather than the patient. 



[While liniments may be of doubtful value, the following 

 composition, applied three to four times the first day and once 

 the second day, has always given me excellent results : 01. 

 terebinthinse, 90 ; spts. camphorse, 120 ; aqute, 240 ; shake. — W.] 



Scarifications are not advisable, as they may lead to infec- 

 tion, especially when animals lie upon earth floors — only too 

 often the case. Here pathogenic organisms may exert their 

 detrimental influence when the proper occasion offers itself. 



Formerly, when this condition was wrongly interpreted as 

 a hydrsemic state, the internal administration of diuretics was 

 employed ; their use may be safely omitted, as it is apt to pro- 

 duce injury. Advanced pregnancy anyway contra-indicates 

 their administration. Therapeutics is therefore better confined 

 to advise against certain methods of treatment than to actively 

 interfere. Experience teaches that but little medication is 

 required in these cases. 



2. — Inversion of the Vagina During Pregnancy. 



Definition. — Prolapsus of the vagina consists of an inver- 

 sion of the superior and lateral vaginal walls, so that the 

 mucosa is visible between the labise or even the whole 

 inverted vagina hangs from the vulva. When the inverted 

 vagina does not extend beyond the vulva, it is termed inversion 

 of the vagina {inversio vagince). When it has passed beyond 

 the lips of the vulva, it is called inversion and prolapsus of the 

 vagina (inversio et prolapsus vagince). An inversion which 

 repeats itself during pregnancy is known as habitual prolapsus 

 vagince. 



Topographical Anatomy.— The vagina lies between the 

 rectum and bladder. It is fixed by the perineal muscles, the 

 deep perineal fascia, further urethra, vesico-vaginal and recto- 

 vaginal excavation. 



