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
It is evident that it is only by attending minutely to the history of
former miscarriages, that we can detect these causes; and we shall
generally find, that in each individual case it is the same organ in
every pregnancy which has yielded or suffered. Previous to future
conception, we may, with propriety, endeavour to render it less easily
affected.
General weakness is another condition giving rise to abortion; and upon
this I have already made some remarks. I have here only to add, that the
use of the cold bath, the exhibition of the Peruvian bark, and wearing
flannel next the skin, constitutes the most successful practice.
Syphilis is likewise a cause of abortion. When it occurs in the mother,
it often unfits the uterus for going on with its actions. At other
times, more especially when the father labours under venereal hectic,
the child is evidently affected, and often dies before the process of
gestation can be completed.
In these cases a course of mercury alone can effect a cure. But we are
not to suppose that every child, born without the cuticle in an early
stage of pregnancy, has suffered from this cause; on the contrary, as
the majority of these instances depend on causes already mentioned, and
which cannot be cured by mercury, I wish to caution the student against
too hastily concluding that one of the parents has been diseased,
because the child is born dead or putrid in the seventh month.
It is not always easy to form a correct judgment; but we may be assisted
by finding that the other causes which I have mentioned are absent; that
we have appearances of ulceration on the child, and that there are some
suspicious circumstances in the former history and present health of the
parents.
Advancement in life, before marriage, is another cause of frequent
abortion, the uterus being then somewhat imperfect in its action. In
general, we cannot do much in this case, except avoiding carefully the
exciting causes of abortion, and by attending minutely to the condition
of other organs during menstruation or pregnancy, we may, from the
principles formerly laid down, do some good.
It is satisfactory to know that, by great care, although we may fail
once or twice, yet the uterus comes at last to act more perfectly, and
the woman bears children at the full time.
After these observations, it is only necessary to add, that in every
instance of habitual abortion, whatever the condition may be which gives
rise to it, we find that it is essential that the greatest attention be
paid to the avoiding of the more evident and immediate exciting causes
of miscarriage, such as fatigue, dancing, &c. In some cases, it may even
be necessary to confine the patient to her room, until the period at
which she usually aborts is past.
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