A manual for midwives and monthly nurses / by Fleetwood Churchill.

  • Fleetwood Churchill
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: A manual for midwives and monthly nurses / by Fleetwood Churchill. Source: Wellcome Collection.

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    creasing in strength, until it becomes percep- tible on placing the band, especially if cold, on the abdomen. Now, when this sign really occurs, it is more conclusive than any of the preceding. But, you must remember, that you depend upon the accuracy or veracity of the patient for the information, at an early period; and, moreover, that something so like these movements occasionally occurs as to deceive even the patient herself, as well as the medical man. On the other hand, as quickening some- times does not occur till the sixth month, the patient may be really pregnant, and yet this sign not be present at the usual time. 5. After the patient has quickened, the tumor formed by the enlarged uterus may soon be perceived above the pubis, rising gradually out of the pelvis, until at the sixth month it reaches the navel, and by the ninth it fills the whole abdomen. The feel of the enlarged uterus is firm and elastic, very different from the feel of the abdomen distended by flatulence or fluid ; but the womb may be enlarged from other causes than pregnancy, and there are other tumors which it is hard to distinguish by their feel alone from the pregnant uterus. However, the appearance of the tumor, shortly after quickening, in addition to the other symptoms already mentioned, completes a body
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