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
When the liquor amnii really is evacuated, sometimes a spasmodic
contraction of the fibres near the cervix takes place, instead of that
regular action which is necessary for expulsion; and if the whole of the
liquor have not escaped, the remaining portion will be confined by the
tightening of that part of the uterus round the fœtus; and this
contraction may endure for a very considerable time. If not interrupted,
it may lay the foundation of future diseases in the uterus.
∽∽∽∽
_Of the Prognosis._
The danger of abortion is to be estimated by considering the previous
state of the health, by attending to the violence of the discharge, and
the difficulty of checking it; to its duration, and the disposition to
expulsion which accompanies it; to the effects which it has produced in
weakening the system, and to its combination with hysterical or
spasmodic affections. In general, we say that abortion is not dangerous,
yet in some cases it does prove fatal very speedily, either from loss of
blood, or spasms about the stomach, or convulsions.
It is satisfactory, however, to know, that this termination is rare,
that these dangerous attendants are seldom present, and that a great
hemorrhage may be sustained, and yet the strength soon recover. But if
there be any disposition in a particular organ to disease, abortion may
make it active, and thus, at a remote period, carry off the patient.
Frequently repeated miscarriages are also very apt to injure the health,
and break up the constitution.
When abortion is threatened, the process is very apt to go on to
completion; and it is only by interposing, before it is fairly begun,
that we can be successful in preventing it, for whenever the muscular
action is established, nothing, I believe, can check the process. As
this is often the case before we are called, or, as in many instances it
depends on the action of gestation being stopped by causes, whose action
could not be ascertained until the effect be produced, we shall oftener
fail than succeed in preventing expulsion.
This is greatly owing to our not being called until abortion has begun;
whereas, had we been applied to upon the first unusual feeling, it might
have been prevented. What I wish then particularly to inculcate is, that
no time be lost in giving notice of any ground of alarm, and that the
most prompt measures be had recourse to in the very beginning, for when
uterine contraction has commenced, then all that we can do is to conduct
the patient safely thro’ a confinement, which the power of medicine
cannot prevent.
The case of threatened abortion, in which we most frequently succeed, is
that arising from slipping of the foot, or similar causes, producing a
slight separation, because here the hemorrhage immediately gives alarm,
and we are called before the action of gestation be much affected.
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