Gina, a 44-year-old mother of eight children, visited her physician complaining of a â€œbearing downâ€ sensation...

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Gina, a 44-year-old mother of eight children, visited herphysician complaining of a â€œbearing downâ€ sensation in her pelvis,low backache, and urinary incontinence. A vaginal examinationshowed that the external os of her cervix was just inside thevaginal orifice and her perineum exhibited large keloids(masses ofscar tissue). Her history revealed that she was a member of acommune located in the nearby mountains that shunned hospitalbirths (if at all possible).What do you think Ginaâ€™s problem is andwhat caused it? (try to be anatomically specific)

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The patient chief complaints including bearing down feeling of the pelvis low backache and urinary incontinence Patient also gives history of multiple child births which were all See Answer

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Gina, a 44-year-old mother of eight children, visited her physician complaining of a â€œbearing downâ€ sensation...