Gina, a 44-year-old mother of eight children, visited herphysician complaining of a “bearing down†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 Gina’s problem is andwhat caused it? (try to be anatomically specific)
