Medical diseases of infancy and childhood / by Dawson Williams.

  • Dawson Williams
Date:
1900
Catalogue details

Licence: Public Domain Mark

Credit: Medical diseases of infancy and childhood / by Dawson Williams. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    CHAPTER III. DISEASES INCIDENTAL TO BIRTH. Hemorrhagic Extravasations during Parturition ; Meningeal Hemorrhage—Icterus Neonatorum—Acute Fatty Degeneration of the New-Born—Acute Hemoglobi- nuria of the New-Born—Mastitis—Erysipelas Neonatorum—Erythema Neonato- rum—Diseases of the Navel—Tetanus Neonatorum—Sclerema Neonatorum— (Edema Neonatorum—Melsena Neonatorum—Pemphigus Neonatorum—[Hem- orrhagic Diseases of the New-Born]. Hemorrhagic Extravasations During Parturition.—During the act of parturition haemorrhage may occur into the skin, subcutaneous tissues, muscles, or viscera of the infant. The causes are to be sought (1) in the great delicacy of the vessels ; (2) in the force exerted by the uterus on the child, which may be compressed strongly against the maternal parts, while the blood may be squeezed mechanically into certain organs ; and (3) in pressure or traction exerted by the hand of the obstetrician or by forceps. As- phyxia, which is capable of producing sub-serous petechia;, will have the effect of reinforcing other causes tending to produce haemorrhage into the substance of organs. Cephalhematoma is the term applied to the effusion of blood which often takes place between the skull bones and their periosteum. The bone most often affected is the right parietal, next to that the left, more rarely the occipital, frontal, or temporal. The haemor- rhage is limited by the attachment of the periosteum at the sutures, but both parietal bones may present blood tumors. The swelling continues to increase for some days after birth. It is soft and fluctuating, and by deep pressure the underlying bone may be felt. After a time the edge becomes hard, and eventually the periosteum forms a ring of bone all around the hsematoma. Plates of bone may also form in the periosteum over the fluid, and give a crackling sen- sation when the swelling is handled. The blood is absorbed Tn the course of a few weeks, but the ring of bone persists much longer often for many months. Occasionally the external effusion is as- sociated with haemorrhage between the skull and the dura mater and a connection may exist between the two collections. The diagnosis is usually easy. A question hardly arises until after the time at which a caput succedaneum would have disappeared.
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