Determination of the place of attachment afterwards by palpation of the abdomen.

Ridgway Barker. Placental localization by abdominal palpation (N. Y.
Med. Journ. Iune 18, 1892).

Determination of the place of attachment afterwards by palpation of the abdomen.
The views of various authors on the possibility of determining the place of attachment of the placenta by means of palpation differ diametrically. While Spencer considers it completely possible and in 7 cases, manual intrauterine examination confirmed his diagnosis, based on palpation of the abdomen, other, not less experienced and conscientious gynecologists, cannot boast of that. So. Duncan completely denies this possibility, and on the other hand Galabin not only fully agrees with Spencer, but elevates even such a possibility to the rule. Barnes agrees with Spencer, apparently only for those cases, when it is attached to the upper girdle of the uterus and on the anterior wall ("when the placenta is located in the upper zones and in front of the uterus"), in such cases, he says , the uterine stump is thickened and protrudes above the level of its common smooth surface.