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
In the next place, I mention that one abortion paves the way for
another, because, setting other circumstances aside, it gives the uterus
a tendency to stop its action of gestation at an early period after
conception, and therefore it is difficult to make a woman go to the full
time, after she has miscarried frequently.
We also find that an excessive or indiscriminate use of venery either
destroys the power of the organs of generation altogether, making the
woman barren, or it disposes to abortion, by enfeebling these organs.
Some slight change of structure in part of the uterus, by influencing
its actions, may, if it do not prevent conception, interfere with the
process of gestation, and produce premature expulsion. If, however, the
part affected be very small, and near the os uteri, it is possible for
pregnancy to go on to the full time. Indeed, it generally does go on,
and the labour, as may be foreseen, will be very tedious; but the
operation of cutting the indurated os uteri, which has been proposed, is
seldom necessary.
I have known one instance, in which a very considerable part of the
uterus, I may say almost the whole of it, was found, after delivery, to
be extremely hard, and nearly ossified: but this state could not have
existed before impregnation took place, for I cannot conceive that so
great a proportion of the uterus should have been originally diseased,
and yet that conception, and its consequent actions, should take place;
but there is no difficulty in supposing, that, during the enlarging of
the uterus, the vessels deposited osseous or cartilaginous matter,
instead of fibres. In this case, it is evident that the delivery must be
instrumental, owing to the deficiency of fibres, and recovery can seldom
take place. Often we find this morbid action affect the placenta,
instead of the uterus; but this is not dangerous.
A general weakness of the system, which must affect the actions of the
uterus, in common with those of other organs, is likewise to be
considered as giving rise to abortion, though not so frequently as was
at one time supposed. The uterus is not only affected by the general
conditions of the system, more especially with regard to sensibility,
and the state of the blood-vessels; but it likewise sympathizes with the
principal organs, and may undergo changes in consequence of alterations
in their state.
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