Observations on Abortion: Containing an account of the manner in which it is accomplished, the causes which produced it, and the method of preventing or treating itBurns, John
Science
Observations on Abortion: Containing an account of the manner in which it is accomplished, the causes which produced it, and the method of preventing or treating it
Burns, John
Miscarriage
Thus we often find that loss of tone, or diminished action of the
stomach, produces amenorrhœa; and it may also on the same principle
induce abortion; on the other hand, the action of the uterus may
influence that of other viscera, as we see in pulmonary consumption,
which is sometimes suspended in its progress during pregnancy; or, if
there be any disposition in an organ to disease, frequent abortion,
partly by sympathy betwixt the uterus and that organ, and partly by the
weakness which it induces, and the general injury which it does to the
system at large, may excite the irregular or morbid action of the organ
so disposed.
As the action of the uterus is increased during pregnancy, it must
require more nervous energy; but the size of the nerves of the uterus is
not increased in proportion to the action; we must therefore depend for
the increased supply upon the trunks, or larger portion of nervous
substance, from which they arise, for we well know that the quantity of
energy expended in an organ, does not depend upon the size of the nerve
in its substance, but on the trunk which furnishes it. Whenever action
is increased in an organ, it must either perish, or the larger nerve
must send the branches more energy, for the branches themselves cannot
form it, their extremities being only intended for expending it: from
which it follows, that in pregnancy there must be more energy sent to
the uterus, and less to some other part.
This is the case with all organs whose action is increased, other parts
being deprived in proportion as they are supplied, except when
irritation raises general action above the natural degree; the
consequence of which is, that the power is not sufficient for the
action, which becomes irregular, and the system is exhausted, as we see
in febrile conditions[5].
There being increased action of the uterus in gestation, requiring an
increased quantity of energy to support it, we find that the system is
put _pro tempore_ into an artificial state, and obliged either to form
more energy, which cannot be so easily done, or to spend less in some
other part. Thus the function of nutrition, or the action by which
organic matter is deposited, in room of that which is absorbed, often
yields, or is lessened, and the person becomes emaciated, or the stomach
has its action diminished, or the bowels producing costiveness and
inflation. If no part give way, and no more energy than usual be formed,
gestation cannot go on, or goes on imperfectly. Hence some women have
abortion induced by being too vigorous; that is to say, all the organs
persist in keeping up their action in perfection and complete degree.
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