The London Medical Gazette; December 27, 1828: Being a Weekly Journal of Medicine and the Collateral SciencesVarious
Science
The London Medical Gazette; December 27, 1828: Being a Weekly Journal of Medicine and the Collateral Sciences
Various
Medicine -- Periodicals
The discussion then wavered between apoplexy and concussion, and
ended by some good-humoured sparring between Dr. Addison and Mr.
Gilbert Burnett, on the capability of the brain containing more
blood at one time than another.
The President announced from the chair that a special meeting would
take place on Friday evening, December 12, at 7 P.M.
December 20th, 1828.
CÆSAR HAWKINS, ESQ. IN THE CHAIR.
After some business had been dispatched, to which we shall allude
in another place, Mr. Jewel related the particulars of a case of
"supposed extra-uterine fœtation." The case, which is one of much
interest, is as follows:--
Mrs. F. a robust, healthy woman, ætatis 27, had been married one
year, and aborted once; when, in the month of September 1827,
she quitted her husband in London, and accepted a situation in
the country. After the expiration of a few weeks she received
permission to come to London for a day; and, naturally enough,
passed that night, (November 8th), with her husband, returning
again to the country next morning. Soon afterwards, the
morning-sickness, heart-burn, and other sympathetic affections
of pregnancy, appeared; but the catamenia still returned at the
regular periods, though scanty and paler in colour than natural.
She now quitted her situation, returned to her husband, and
engaged a midwife to attend her in her expected confinement. The
circumstance of quickening occurred in the latter part of February,
and was accompanied by a severe paroxysm of fainting, whilst the
abdomen gradually enlarged, and the motions of the child (as was
imagined) could not only be easily detected with the hand, but were
visible to the eye. On the 9th of August, making a period of 274
days, she was seized with the usual premonitory symptoms of labour;
the midwife arrived; found her walking her chamber, and concluded
that the process had considerably advanced. Three distinct uterine
contractions took place subsequent to the midwife's arrival, the
last of which was so severe as to compel the patient to grasp
firmly the back of a chair, and induce, after its subsidence,
excessive faintness. From this time no further parturient effort
was made; no examination per vaginam was instituted; neither was
there noticed any sanguineous vaginal discharge. When Mr. Jewel saw
her, examination detected nothing unusual in the os uteri, and the
symptoms she presents are these. The abdomen is about the size of a
woman's in the sixth or seventh month of pregnancy, the enlargement
being general. Her general health is much disturbed: she complains
of pain in the left hypogastric region, particularly when the
abdomen is compressed by the hand or stays--and she also complains
of weight in the abdomen, especially on leaning forwards. The woman
herself has a strong prepossession that "something is to come
away," or that she might be relieved by an operation. The woman
believes that she still feels the motions of the child, though
feebly.
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