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Braun claimed that a fistula caused sterility but Simon, Schmidt, Freund, and others have disproved this. But essay editing tips Simon believes that when does occur under these circumstances, an abortion or a premature proquest dissertation search delivery the result.

A case Schmidt, and one the author's, show that this not always In fact, father had a case in which pressure at the same spot a child at term at the next confinement caused case study writing services the help on writing an essay fistula, due to the previous one, heal. We must admit that conception rarer among these patients than in healthy persons, for few patients with fistula become pregnant but some I mention a patient in Berichten und Studien, II.

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who had a very considerable yesiso-vaginal fistula, and in whom after an unsuccessful attempt secure direct union transverse obliteration had been done. This was not entirely accomplished a small opening was left, and through this coitus was accomplished during a short visit which she made her home. She aborted at the month. In the same volume page recorded the confinement patient with an unviable and macerated girl a cephalotripsy done years ago had occasioned fistula?, and there were a large number cicatricial bands in the vaginal vault. Nevertheless she conceived again. Naturally, succeeding pregnancies may enlarge the fistulas, or delivery may hindered the cicatricial bands, etc. In the lastmentioned case air entered the gaping cervical vessels, and the patient died four hours after delivery.

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The puerperal period may greatly influenced the recrudescence subacute inflammatory processes in the neighborhood the uterus. As a rule a new pregnancy means increased trouble and greater danger for the patient. On the other hand Schroder maintains that the power conception not much altered in women with urinary fistula?, and the ensuing pregnancies and deliveries are normal. Kroner's thorough investigation of sixty cases fistula in the Breslau Klinik not confirm Schroder's statements.

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He found that menstrual disturbances frequently accompanied the affection.

The periods often ceased entirely, or only began some time after delivery, or they were irregular and painful.

In only, were they normal.

G cases only conceived and in all the literature of the subject only found cases fistula that did including these This small number alone, among the hundreds cases fistula which have been reported Bouque alone cites operated upon suture proves the rarity conception in these cases. Among Kroner's cases were pregnant once, twice, three times, and one had a series children. them bore children only went full term, and suffered from abortion or premature labor. There was much variation in the exact mode birth but the number cases was too help with essay writing websites a thesis statement for a research paper small to draw any definite conclusions about. Out cases in which the fistula was subsequently examined, were help formulating a thesis unchanged, and one considerably enlarged. Finally, confinements, many which were premature, there were deaths, a high percentage. When the fistula small, high and there but little loss urine, the general health may entirely unimpaired. 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