Eine Abhandlung über die Wissenschaft und die Praxis der Hebammen. Auch in einer von Sir James Simpson, 2, in der ein patientdied drei Monate nach Begriff, ihe foelas in (ail v meta-morphosis, eine Öffnung der Größe von einem halben erown in gebildet zwischenden Colon transversum und die gebärmutterhöhle durchgemacht berichtet d. Es heißt auch, dass die Gebärmutter Wände so dünn wie Pergamentpapier. In einigen wenigen erleichtert, jedoch wahrscheinlich, wenn der Eingang von airhas verhindert worden, der Fötus hat für eine Länge von timewithout Zerlegen beibehalten, ohne troublesomesymptoms. Ein solcher Fall wird von Dr. gemeldet

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A treatise on the science and practice of midwifery . d also in one reported by Sir James Simpson, 2 in which a patientdied three months after term, ihe foelas having undergone (ail v meta-morphosis, an opening the size of half-a-erown having formed betweenthe transverse colon and the uterine cavity. It is also stated thatthe uterine walls were as thin as parchment. In some few eases, however, probably when the entrance of airhas been prevented, the foetus has been retained for a length of timewithout decomposing, and without giving rise to any troublesomesymptoms. Such a case is reported by Dr. Cheston, 8 in which thefoetus remained in utero for fifty-two years. 1 Doublin Quart. Journ., Feb. and May, 1864. 2 Edin. Med. Journ., 1865. Med.Chir. Trans., isi . 182 PREGNANCY. Its Causes.—The causes of this strange occurrence are altogetherunknown. Generally the foetus seems to have died sometime beforethe proper term for labor, and this may have influenced the characterof the pains. It is probably also most apt to occur in women of Fig. 81.. Contents of the Cyst in Dr. Oldhams case of Missed Labor. feeble and inert habit of body, possibly where there was some obstacleto the dilatation of the cervix, which the pains were unable to over-come. Barnes suggests1 that some presumed examples of missedlabor were really cases of interstitial gestation, or.gestation in onehorn of a two-horned uterus. In several of the cases, however, thedetails of the post-mortem examination are too minute to admit ofthe possibility of this mistake having been made. From what has been said, it will be seen that the dangers arisingfrom this state are very considerable, and when once the full termhas passed beyond doubt, especially if the presence of an offensivedischarge shows that decomposition of the foetus has commenced, itwould be proper practice to empty the uterus as soon as possible, The necessary precaution, however, is not to decide too quickly thatthe term has really passed; and, therefo

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• bookcentury1800
• bookdecade1870
• bookidtre
• booksubjectobstetrics