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
A tendency to abortion also results from a contrary cause, from organs
yielding too readily, allowing the uterus to act too easily. In this
state it is as liable to go wrong, as the general system is when it is
at the highest degree of action, compatible with health, the most
trifling cause deranges it. Thus, sometimes, the intestines yield too
readily, and become almost torpid, so that a stool can with difficulty
be procured. Here costiveness is not a cause of abortion, though it may
be blamed. In like manner, the muscular system may yield and become
enfeebled; and in this instance debility is accused as the cause of
abortion, although it be, indeed, only an effect of too much energy
being destined for the uterus. In this case, the woman is always weaker
during menstruation and gestation than at other times.
Now this is not a piece of idle speculation, but is of much practical
importance, especially in considering the means of correcting habitual
abortion; and much attention should be paid to the state of the
principal organs in the body; for, if we confine our attention merely to
the uterus, we shall often fail when otherwise we might succeed; and it
will be necessary to remember, that the chain of sympathies in gestation
is often extensive and complicated.
The state of the stomach, for example, may give rise to head-ach,
tooth-ach, &c. and often it is dangerous suddenly to remove these remote
effects. It throws too much energy to the uterus; its action is too much
exerted; contraction and abortion take place: but in the unimpregnated
state, the removal of these effects may, on the contrary, be useful:
thus the pulling of a pained tooth sometimes speedily produces the
return of the menses in cases of obstruction.
If the neighbouring parts do not accommodate themselves to the changes
in the direction of energy, and act in concert with the uterus, their
action becomes irregular, and consequently painful. In this case the
uterus may have its just degree of power and action; but other parts may
not be able to act so well under the change of circumstances. This is
chiefly the case in early gestation, for, by time, the parts come to act
better. It often gives rise to unnecessary alarm, being mistaken for a
tendency to abortion; but the symptoms are different. The pain is felt
chiefly at night, a time at which weakened parts always suffer most; it
returns pretty regularly for several weeks, but the uterus continues to
enlarge, the breasts to distend, and all things are as they ought to be,
if we except the presence of the pain. This may be alleviated sometimes
by anodynes, but can only be cured by time, and avoiding, by means of
rest and care, any additional injury to parts already irregular and
ticklish in the performance of their actions. If this be neglected, they
will re-act on the uterus at last, and impede its function.
Public-domain text, read in full here on John Shaqi.
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