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 already mentioned, that abortion is sometimes the consequence of
too firm action, the different organs refusing to yield to the uterus,
which is thus prevented from enjoying the due quantity of energy and
action. These women have none of the diseases of pregnancy, or they have
them in a slight degree. They have good health at all times, but they
either miscarry, or have labour in the seventh or eighth month, the
child being dead; or, if they go to the full time, I have often observed
the child to be sickly, and of a constitution unfitting it for
living[11].
We may sometimes cure this state by giving half a grain of digitalis,
and the eighth part of a grain of the tartris antimonii, every night at
bed-time, which diminishes the stomachic action. Bleeding is also
useful, by making the organs more irritable. Exercise, so as to prove
tonic, is hurtful in this species of abortion; instead of wishing to
increase the action of any organ, our object is to diminish it, and make
the different parts more easily acted on.
The accidental accession of an hysteric condition of the system,
sometimes spontaneously cures this state: and if the patient have gone
to the full time, but bear an unhealthy child from this cause; if she
meet with any accident in her confinement, inducing a nervous condition,
she is less apt afterwards to miscarry, or have dead children.
There is another case in which all the functions are healthy and firm,
except the circulation, which is accelerated by the uterine irritation.
This is more or less the case in every pregnancy, but here it is a
prominent symptom. The woman is very restless, and even feverish, and
apt to miscarry, especially if she be of a full habit. Immediate relief
is given by venesection, and afterwards we may, for some time, give
every night half a grain or a grain of digitalis, with two grains of the
extract of hyocyamus.
When, on the contrary, abortion arises, from too easy yielding of some
organ, we must keep down uterine action, by avoiding venery, and
injecting cold water often into the vagina. Clysters of cold water are
also useful; at the same time we must attend to the organ sympathizing
with the uterus.
Sometimes it is the stomach which is irritable, and the person is often
very sick, takes little food, and digests ill. A small blister, applied
to the pit of the stomach, often relieves this; a little of the compound
tincture of bark, taken three or four times a day, is serviceable; or a
few drops of the tincture of muriated iron in a tumbler glassful of
aerated water; at other times the bowels yield, and the patient is
obstinately costive. This is best cured by manna, with the tartarite of
potash. When the muscular system yields, producing a feeling of languor
and general weakness, the use of the cold bath, with a grain of opium,
at bed time will be of most service.
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