An Essay on the Uterine Haemorrhage which Precedes the Delivery of the Full-grown Foetus: Illustrated with Cases

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Hunter, Printed by Burks and Kinnebrook, Norwich, 1822 - Delivery (Obstetrics) - 267 pages
 

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Page 38 - ... certainly founded on a rational principle, for when it is so much dilated, there is no doubt but the turning may be easily and safely effected ; but from some of the annexed cases it appears, that a dilatation to this degree sometimes does not take place at all ; and that even when the woman is dying from the great loss of blood, the uterus is very little open ; the reason for which seems to be, that when the discharge has been considerable, and more particularly when much blood has been suddenly...
Page 20 - in which," as Dr. Rigby observes, "he was under the necessity of delivering by art, on account of dangerous haemorrhages, and in all of them he found the placenta at the mouth of the womb.
Page xxxii - He organized the Society for the relief of the widows and orphans of medical men in 1840 and was its first president.
Page 260 - An Essay on the Uterine Haemorrhage which precedes the Delivery of the full-grown Foetus.
Page 15 - Placenta, which occasions the discharge, remains nearly the same; whereas, in the other case, in which the dilatation of the Os Uteri produces the separation of the Placenta, every return of pain must be a return of the bleeding, and it must become greater and greater as the Uterus opens more and more, and the Placenta is in proportion detached, till it increases to a degree that exhausts the patient, and she dies before nature has been able to expel the child. That such must inevitably be the progress...
Page 14 - ... that of these two kinds of floodings only one of them, namely, that which is produced by an accidental separation of the Placenta, can be relieved by the use of these palliatives ; and that the other, in which the Placenta is fixed to the Os Uteri, and the flooding is therefore unavoidable, cannot possibly be suppressed by any other method whatever than the timely removal of the contents of the womb; for supposing the discharge to be for a while restrained by bleeding, medicine, cool air, &c.
Page xi - ... and impressed me as a discovery. " I was certainly afterwards struck with the coincidence of the sentiments of Levret and myself on the subject, with the similarity of our practical deductions, and, allowing for the difference of language, even with the sameness of our expressions. I am further not reluctant to acknowledge, that after reading Levret's dissertation, I felt less entitled to the claim of absolute originality on the subject ; and I now rest perfectly satisfied to divide with him...
Page 37 - never to introduce the hand till nature has shown some disposition to relieve herself, by the dilatation of the os uteri to the size of a shilling or a half-crown ; and this rule is certainly founded on a rational principle ; for when it is so much dilated, there is no doubt but the turning may be easily and safely effected ; but from some of the annexed cases it appears, that a dilatation to this degree sometimes does not take place at all, and that...
Page 7 - An Essay on the Improvement of Midwifery, chiefly with regard to the Operation, to which are added Fifty Cases, selected from upwards of Twentyfive Years
Page ix - I may, perhaps, be allowed to say that I congratulated myself, young in years and in practice as I then was, in being, probably, the first to suggest an...

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