The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
When the fœtus is prematurely expelled before it can survive, it is
called an _Abortion_, but if its expulsion take place so late that
it can live, it is called _Miscarriage_. Both these are serious
accidents. In abortion the child is lost, as a matter of course, but
in miscarriage it may live, after the seventh month. The danger to
the mother is considerable from both, though greatest probably from
abortion. It is probable that many very early miscarriages take place
unperceived, the female suffering but little from the accident, and the
embryo being too small to be seen, unless carefully looked for.
The most frequent periods for such accidents are found to be six
months, five months, and three months; and what is very singular, a
much greater number of male children are aborted than females, the
proportion being about sixteen to eleven.
These accidents are so intimately connected with flooding, that many
writers always treat of them together, considering the flooding merely
as the most frequent cause and symptom of miscarriage or abortion. In
speaking therefore of the immediate causes of premature expulsion of
the fœtus, we place hemorrhage first, and the causes before enumerated
which produce that as being its most frequent remote ones.
A full habit, with tendency to local congestion, seems to predispose
a female very much to miscarriage; every one so constituted should
carefully avoid luxurious living and an inactive life. Violent bodily
exertion, falls, or blows, or strong mental excitement are most usually
the immediate causes, though with some it will come on spontaneously
without any such exciting agencies. Some females will miscarry many
times in succession, and always so near the same period, that they can
tell to a day or two when it will happen. It seems to become a habit of
the womb with them to contract at that particular time, and the only
way to break through the _habit_ is for them to avoid becoming pregnant
for some considerable time, say two or three years after, they may then
go the full time, but will seldom do so if they conceive immediately
after having miscarried. In some persons miscarriage is caused by a
_too eager_ gratification of certain desires; but in others it may
arise _from the opposite cause_.
There is a disease of the womb also by no means unfrequent, though but
little understood, which undoubtedly causes much miscarriage, and that
is _Rheumatism of the Womb_! This mostly exists before the pregnancy
however, and should be then treated according to the plan laid down in
my "Diseases of Woman."
Public-domain text, read in full here on John Shaqi.
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