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
This is known by the smallness of the pulse, the paleness of the face,
the slightness of the convulsions, the absence of foam at the mouth, and
an appearance of struggling about the throat. It attacks suddenly,
generally on getting into an erect posture.
It is at first little different from syncope, and during the whole time
the muscles of the face are not much affected, the countenance having
rather a deadly aspect. This is removed by an horizontal posture,
sprinkling the face smartly with cold water, and the use of volatiles.
The patient, in this case, as in epilepsy, is often unconscious of
having been ill.
Regular hysteric paroxysms also sometimes accompany abortion, and are
more dangerous than at other times, more especially if they seem to have
been excited by the profusion of the discharge. If they last long, they
either end in mortal syncope, or in stupor. If they have been brought on
by some agitation of mind, they are less to be feared, though not even
then void of danger.
Besides attending to the state of the discharge, the best practice is to
keep the person very cool, and exhibit thirty or forty drops of tincture
of opium, and two drams of tinctura valerianæ ammoniata in a little
peppermint water. A clyster, composed of a pound of cold water and two
drams of tincture of asafœtida, is also sometimes of service.
Those disagreeable symptoms which I have described, fortunately do not
often attend abortion; but the process goes on safely, and without
disturbance. In this case, after it is over, we only find it necessary
to confine the person to bed for a few days, as getting up too soon is
apt to produce debilitating discharge.
We must also, by proper treatment, remove any morbid symptoms which may
be present, but which depending on the peculiarities of individuals, or
their previous state of health, cannot here be specified. When the
patient continues weakly, the use of the cold bath, and sometimes of the
bark, will be of much service in restoring the strength; and, in future
pregnancies, great care must be taken that abortion may not happen again
at the same period.
Unfortunately we meet with some cases where the recovery does not take
place with that promptitude and regularity which could be wished. This
sometimes depends upon a continuance of the hemorrhage after the ovum is
expelled, by which the patient is greatly weakened, and even her life
put into danger.
The hemorrhage may either continue from the time of expulsion, or it may
come on a week, or even longer, after it. It seems to proceed from the
uterus not going on in the process of restoration to the unimpregnated
state, but remaining too long enlarged, the consequence of which is,
that very soon the vessels pour out blood, and fill the cavity, forming
a coagulum, which presently is expelled with a considerable flow of
fluid blood; and this process may be very frequently repeated.
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