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
The _progress of a miscarriage_ varies according to the time at which
it occurs, and the causes from which it arises. When it results from
any violence or accident, it usually takes place in a short time,
and is preceded by abundant flooding, which comes on immediately.
The discharge of blood however, is lesser the nearer we approach the
full term, so that a female six months gone is not in nearly so much
danger from flooding as one only two or three months gone. The reason
is this, in the early months nearly the whole of the fœtal membranes
are attached to the womb, so that in case of their being separated, it
bleeds from nearly all its internal surface, but in the latter months
the only point of attachment is the placenta. In the latter months
also the womb contracts vigorously, and so closes its vessels, but in
the early months its contractions are comparatively feeble. In those
cases also, where the child has been dead a considerable time before
its expulsion, there is seldom much flooding, the connection between
it and the mother having been more or less destroyed by decay of the
parts. The same result mostly follows a miscarriage from internal
disease, particularly of the placenta. Indeed in some of these cases,
the blood-vessels connecting the fœtus with the mother have been so
completely destroyed, that no blood whatever could escape from them.
In regard to the probable consequences of premature delivery, it
has already been remarked that it is more dangerous in the early
months than the latter. It may also be added that it is much more
dangerous, at any time, when caused by violence of any kind, or by
forcing medicines, than when it occurs naturally. The danger is much
increased if it occurs during fever, or any eruptive disease, or if
the patient be suffering from diarrhœa or convulsions. As a general
rule we may say, in all cases, that miscarriage or abortion is always
more dangerous to mother and child than natural labor, both in its
present and in its future consequences. During an attack of jaundice an
abortion may terminate fatally in a few hours; and very frequently the
trouble with the after treatment is very great and long-continued.
The treatment in an accident of this kind must vary according as we are
required to prevent it, or to remedy the evils that follow when it has
occurred.
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