In phonetics, denasalization is the loss of nasal airflow in a nasal sound, such as a nasal consonant or a nasal vowel. That may be due to speech pathology but also occurs when the sinuses are blocked from a common cold, when it is called a nasal voice, which is not a linguistic term. Acoustically, it is the "absence of the expected nasal resonance." The symbol in the Extended IPA is ⟨◌͊⟩. When one speaks with a cold, the nasal passages still function as a resonant cavity so a denasalized nasal [m͊] does not sound like a voiced oral stop [b], and a denasalized vowel [a͊] does not sound like an oral vowel [a]. However, there are cases of historical or allophonic denasalization that have produced oral stops. In some languages with nasal vowels, such as Paicĩ, nasal consonants may occur only before nasal vowels; before oral vowels, prenasalized stops are found. That allophonic variation is likely to be from a historical process of partial denasalization. Similarly, several languages around Puget Sound underwent a process of denasalization about 100 years ago. Except in special speech registers, such as baby talk, the nasals [m, n] became the voiced stops [b, d]. It appears from historical records that there was an intermediate stage in which the stops were prenasalized stops [ᵐb, ⁿd] or poststopped nasals [mᵇ, nᵈ]. Something similar has occurred with word-initial nasals in Korean; in some contexts, /m/, /n/ are denasalized to [b, d].
Uterine inversion is when the uterus turns inside out, usually following childbirth. Symptoms include postpartum bleeding, abdominal pain, a mass in the vagina, and low blood pressure. Rarely inversion may occur not in association with pregnancy.Risk factors include pulling on the umbilical cord or pushing on the top of the uterus before the placenta has detached. Other risk factors include uterine atony, placenta previa, and connective tissue disorders. Diagnosis is by seeing the inside of the uterus either in or coming out of the vagina.Treatment involves standard resuscitation together with replacing the uterus as rapidly as possible. If efforts at manual replacement are not successful surgery is required. After the uterus is replaced oxytocin and antibiotics are typically recommended. The placenta can then be removed if it is still attached.Uterine inversion occurs in about 1 in 2,000 to 1 in 10,000 deliveries. Rates are higher in the developing world. The risk of death of the mother is about 15% while historically it has been as high as 80%. The condition has been described since at least 300 BC by Hippocrates. Signs and symptoms
Uterine inversion is often associated with significant postpartum bleeding. Traditionally it was thought that it presented with haemodynamic shock "out of proportion" with blood loss, however blood loss has often been underestimated. The parasympathetic effect of traction on the uterine ligaments may cause bradycardia.