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 — John Shaqi
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
I have elsewhere[6] endeavoured to prove, that we have a certain
quantity of action present in the system at large, and properly
distributed amongst the different organs, forming an equilibrium of
action; and that if one organ act in an over degree, another, which is
connected with it, will have its action lessened, and _vice versa_.
The same holds true with regard to different actions belonging to the
same organ; and the fact is of considerable importance, both in
explaining and curing diseases. During pregnancy, the muscular fibres of
the uterus are dormant, possessing no contractile action; at least, none
qualifying them for contracting, so as to make the uterus smaller.
I doubt much if even the individual fibres possess a power of
alternately contracting and relaxing, as in other muscles, in any degree
whatever. But, whenever the action of gestation ceases, action is
communicated to these fibres; and whenever this loss on the one part,
and gain upon the other, is universally begun in the womb, the
transference will be completed, and the ovum can no longer be preserved
in the uterus.
The loss of action is generally speedy, when once begun. Perhaps in most
instances it takes place instantaneously, and then the fibres begin
individually to act; but they may not, for some hours, contract
universally, and all at one and the same time producing pains.
But if some other organ shall receive the surplus of action, or the
transferred action, then the uterine fibres either will not contract, or
will receive an inferior and insufficient degree of action, and
expulsion will not take place until the organ sympathizing shall cease
to have the increased action, whether it be the brain, the stomach, or
the external muscles of the body. Sometimes also the action seems to be
divided betwixt the uterus and other organs, or they alternate in their
actions.
This fact is of importance in explaining and correcting many of the
irregularities attending labour, which it would be impossible here to
specify.
Sometimes the action is chiefly communicated to one part of the uterine
fibres, whilst the rest are more torpid; and this part contracts in an
undue degree, clasping the child firmly, and retarding labour[7]; and,
after expulsion, it is apt to return, and retain the placenta, whilst
the rest of the uterus becomes torpid, producing flooding.
If, then, the action of gestation cease universally in the uterus,
another action, namely, muscular contraction, begins, and then all hope
of retaining the ovum any longer is at an end. I know that we have been
told of instances where contraction, after beginning, stopped for
several weeks.
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