I. Notes on Tonic Contraction of Bandl's Ring in Two Cases of Transverse Presentation with Remarks

M. Sinnetamby
1909 BJOG: an International Journal of Obstetrics and Gynaecology  
THE special interest attached to these two cases, their extreme rarity, and the absence of any reference in standard text-books, warrant my recording them. A married Singhalese, quintipara, aged 30 years, who had alu-ays enjoyed good health and whose previous labours had been uncomplicated, was admitted into De Soysa Lying-in-Home on the 19th March 1905, with labour pains of nearly three days' duration. The membranes had ruptured 24 hours before admission, and prolapse o f one arm soon
more » ... The pulse was feeble and 120 per minute. Temperature 102°F. She complained of no pains, and on palpation the uterus was found neither very hard nor tender. Fcetal he,art sounds were heard, but the fcetal outline could not be clearly mapped out. The prolapsed arm was swollen and of a blnish colour. On making a vaginal examination the cervix and lower uterine segment were found hanging loosely below the retraction ring, which was firmly gripping the right arm below the shoulder. Under anmthesia it was impossible to insinuate even a finger between the prolapsed arm and the retraction ring. The arm was found fractured as a result of repeated efforts by a village midwife to effect delivery. As turning and decapitation were out of the question, the patient was prepared for Cesarean section in spite of the evidence of intrapartum infection, as shown by fever and the history of repeated CASE 1. The patient had an anxious look.
doi:10.1111/j.1471-0528.1909.tb12825.x fatcat:g6jkzeolwnb5bcf63yloajfage