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
Either of these discharges are very apt to produce painful headachs,
vertigo, and often slight paralytic symptoms, which, however, soon go
off. Any considerable increase of the hemorrhage gives relief to the
headach, but it returns afterwards with greater violence.
It is frequently relieved by the use of small doses of the saline
laxatives. In protracted cases, especially when the headach puts on an
intermittent form, observing pretty regular periods, the bark combined
with valerian will be of service.
Sometimes the mind is affected after abortion, although we may have had
little discharge; and the person becomes either melancholy, or, which is
much oftener the case, mad, with great volubility of tongue. This mania
is, in general, sudden in its attack, and is often preceded by a violent
fit of palpitation, or some other nervous affection.
It occasionally alternates with external pain or swelling of some of the
joints; and, though frequently a tedious complaint, is oftener got the
better of than any other species of mania. The head, upon a general
principle, ought to be shaved and blistered, and a free discharge kept
up from it. The bowels are to be carefully attended to, and no indurated
faces should be allowed to remain in them. The camphorated emulsion may
be given through the day in its usual quantity; and a full dose of
extract of hyosciamus exhibited at night. The patient is to be kept, in
every respect, as quiet and easy as possible.
Another distressing consequence of abortion, as well as of labour at the
full time, is hysteria appearing in various forms, but more especially
under that of palpitation of the heart. This attacks suddenly, often in
consequence of a fright.
The patient has a violent beating in the breast, and sometimes a sense
of suffocation. She feels also a knocking within the head, attended with
a sense of heat, and often a redness in the face. The pulse becomes
extremely rapid and irregular, and continues so until the fit goes off,
which sometimes is not for a considerable time.
During the paroxysm, the patient is much terrified, and impressed with a
belief that she is going to die. After it is over, the mind is left
timid, and the body in a state of languor. Sometimes the fit is
succeeded by a profuse perspiration, whilst betwixt the attacks the
temperature is very versatile.
This, like all other complaints of the same class, is very obstinate;
but it is not in general dangerous, unless when it proceeds from uterine
disease, marked by pain in the hypogastric region and tension of the
belly. In this case, the danger is great, and is only to be averted by
the early use of purgatives, followed by antispasmodics, whilst
fomentations are applied to the belly.
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