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
By suspending, for a time, its action, it returns afterwards with more
vigour and perfection, and finishes the process. But when the process is
going on regularly, opiates will only tend to interfere with it, and
prolong the complaint.
It was at one time the practice to endeavour to extract the fœtus and
placenta, in order to stop the discharge; but this is now very properly
abandoned. If the whole ovum come away at once, the discharge stops; if
only the fœtus come away, it continues until the placenta and decidua
are expelled; and where this process is tedious, we may derive advantage
from gently irritating the os uteri with the finger, or using pretty
strong saline clysters, or throwing cold water into the uterus by means
of a female catheter, fitted to the elastic gum bottle used for
injecting hydrocele. These means are much safer than the attempts to
pull out the placenta with the finger or pincers, which were formerly so
often made, and which are very apt to injure the womb.
In cases where the discharge is protracted and profuse, with little or
no pain, and the ovum is still entire, we may, if the pregnancy be
considerably advanced, excite the expulsive action, by rupturing the
membranes.
The stomach very soon suffers, and becomes debilitated, producing a
general languor and feebleness, with a disposition to faint, which
seems, in abortion, to depend more upon this cause than directly upon
loss of blood. Indeed, the hemorrhage produces both slighter and less
permanent effects in abortion than at the full time, although less blood
may have been lost in the latter than in the former case, for the
vessels are smaller, and the discharge is not so sudden.
There is still another cause for this; namely, that the action of the
uterus is less in the early than in the late months. Now, we know that
the effect of hemorrhage from any organ is, _cæteris paribus_, in
proportion to its degree of action. Hence the discharge is less
dangerous than at the full time, and still less in menorrhagia than in
abortion.
It is likewise less in cases where hydatids are contained in the uterus,
than when a child is present, very astonishing discharges being
sometimes sustained in that case with impunity.
The effect of abortion on the stomach seems to be in proportion to the
period at which that takes place, being greater when it occurs before
the fourth month than after it.
The effect, though distressing, and often productive of alarm, is
nevertheless beneficial, lessening the action of the vessels in the same
way with digitalis, the use of which is improper when this condition is
present.
The strength of the pulse is much abated; sometimes it becomes slower;
but in general it remains much as formerly in point of frequency; we are
therefore not to be too anxious in removing this condition, which
restrains hemorrhage; yet as it may go beyond due bounds, and produce
dangerous syncope, we must check it in time.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account