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 abortion is threatened, we come to consider whether and by what
means it can be stopped. I have already stated my opinion, that when the
action of gestation ceases, it cannot be renewed, and that general
contraction of the uterine fibres is a criterion of this cessation.
Still, as some of the means which may be supposed useful in preventing a
threatened abortion are also useful in moderating the symptoms attending
its progress, we may very properly have recourse to them. Some causes
giving rise to abortion, do not immediately produce it, but give warning
of their operation, producing uneasiness in the vicinity of the uterus,
before the action of that organ be materially affected.
The detraction of a little blood at this time, if the pulse be in any
measure full or frequent, and the subsequent exhibition of an anodyne
clyster, or a full dose of digitalis and opium, together with a state of
absolute rest for some days, will often be sufficient to prevent farther
mischief, and constitute the most efficacious practice.
This is the time at which we can interfere with the most certain
prospect of success; and the greatest attention should be paid to the
state of the rest of the system, removing uneasiness, wherever it is
present, and preventing any organ from continuing in a state of undue
action. It is difficult to persuade the patient to comply with that
strict attention which is necessary at this period; but being persuaded
that if this period be allowed to pass over with neglect, nothing can
afterwards prevent abortion. I wish particularly to impress the mind of
the student with a due sense of its importance; and I must add, that as
after every appearance of morbid uterine action is over, the slightest
cause will renew our alarm, it is necessary that great attention be paid
for some time to the patient.
Often, instead of an uneasy feeling about the loins, or lower belly, we
have, before the action of gestation stops, a discharge of blood,
generally in a moderate, sometimes in a trifling degree. This is more
especially the case when abortion is threatened, owing to an external
cause, and, if immediately checked, we may prevent contraction from
beginning.
Even in those cases where we do not expect to keep off abortion, it is
useful to prevent, as far as we can, the loss of blood, for as I cannot
see that the hemorrhage is necessary for its accomplishment, although it
always attend it, I conclude that our attempts to prevent bleeding can
never do harm, for if they succeed in checking abortion, we gain our
object; if they fail, they do not increase, but diminish the danger.
It should be carefully remembered, that the more we can save blood, the
more do we serve our patient. As the means for checking the discharge
will be immediately pointed out, it is unnecessary here to enter into
any detail.
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