The physiology and treatment of placenta praevia.

  • Robert Barnes
Date:
1858
Catalogue details

Licence: Public Domain Mark

Credit: The physiology and treatment of placenta praevia. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    the night two coagula came away, one as large as the fist. I was sent for at eight, A.M. No pains. I felt a coil of the funis hanging out of the vagina, and just within the os uteri, which was rigid and di]ated to about the size of a shilling. I distin- guished the foot of a very small foetus. At half- past eight I gave a dose of ergot. Examining again at half-past nine, I distinctly felt a portion of the placenta very near the os uteri. The feet being more within reach, I proposed a second attempt at delivery. This time I had very little difficulty in getting both feet down, but the rigidity of the os uteri continued very great, rendering the ex- traction of the child's head very difficult. The placenta followed without any trouble, and the woman did well. Case 42.—No. 1796. August8,1851. Pluri- para ; twelfth labour; living child.—Haemorrhage to a considerable extent without pains had been going on for several hours, when I saw her at half- past eight, A.M. Another medical man had been called in overnight, but he soon left her. I found the os uteri dilated to the size of a shilling, thick and rigid. I ruptured the membranes immediately, and gave a dose of ergot. Nice pains came on in an hour, and the child was born at a quarter to one. I could not feel any portion of the placenta, Patient had a very good recovery/''