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
"Calculations of the duration of pregnancy, founded upon what has been
observed to occur after casual intercourse, or perhaps a single act,
in individuals who can have no motive to tell us what is false, are
likely to be much more correct; and the conclusion to be drawn from
these is, that labor usually, but not invariably, comes on about 280
days after conception, a mature child being sometimes born before
the expiration of forty weeks, and at other times not until the
forty weeks have been exceeded by several days. A case came under my
observation very lately, in which I had no doubt the pregnancy existed
287 days: the labor did not take place till 287 days had elapsed
from the departure of the husband of this lady for the East Indies.
Some women are always delivered before the end of the forty weeks,
according to the usual calculation, and their children are mature.
"In the evidence given on the Gardner Peerage cause, the period
of utero-gestation was limited, but not strictly, by some of the
witnesses, to forty weeks, or 280 days; by others it was extended
to 311 days. Dr. Merriman, whose opinion is always entitled to much
respect, thinks the greatest number of women complete gestation in
the 40th week, and next to that in the 41st. Of 114 pregnancies,
calculated by him from the last day of menstruation, and in which the
children appeared to be mature, 3 deliveries took place at the end of
the 37th week; 13 in the 38th; 14 in the 39th; 33 in the 40th; 22 in
the 41st; 15 in the 42d; 10 in the 43d; and 4 in the 44th week.
"How long before the expiration of the 40 weeks a child may be born
with the power of supporting life has not been determined. Where I
have induced premature labor for distortion of the pelvis before the
end of the seventh calendar month from the last menstruation, I have
never seen a child reared. The lady of the clergyman in Fife, whose
case has lately given rise to so much discussion, was delivered 175
days after marriage, and the child lived five months. To what extent
gestation may be protracted in some cases beyond the 280 days it is
very difficult to determine, and the opinions of the most eminent
writers differ upon the subject. I should suspect some great error in
the calculation where the period of gestation exceeded 300 days. But
the experiments made on the lower animals prove that there exists in
them a great variation between the shortest and the longest gestation;
and it is difficult to comprehend why there should be a difference in
this respect in the human species."
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