A practical treatise on midwifery / by M. Chailly ... A work adopted by the Royal council of public instruction. Tr. from the French and ed. by Gunning S. Bedford.
- Chailly-Honoré, Nicolas Charles, 1805-1866.
- Date:
- 1847
Licence: Public Domain Mark
Credit: A practical treatise on midwifery / by M. Chailly ... A work adopted by the Royal council of public instruction. Tr. from the French and ed. by Gunning S. Bedford. Source: Wellcome Collection.
Provider: This material has been provided by the University of Massachusetts Medical School, Lamar Soutter Library, through the Medical Heritage Library. The original may be consulted at the Lamar Soutter Library at the University of Massachusetts Medical School.
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![from a rheumatismal metastasis. Pain, without any appreciable cause, is the principal symptom of this affection. There is exqui- site sensibility of the uterus, without contraction, sometimes lim- ited to one portion of the uterus, sometimes affecting the whole of the organ. In all cases, pressure and the touch increase the pain; it extends to the loins, groins, and thighs, and may change its loca- tion rapidly, as happens in all rheumatismal aflections; it is liable to frequent exacerbations, variable in duration and intensity, and to remissions more or less complete. Recto-vesical tenesmus almost always accompanies this disease, and increases its inconveniences. It results from sympathies which bind the genito-urinary organs so closely together. This affection is not always attended by fever ; but in the major- ity of cases, a febrile reaction manifests itself, and continues as long as the accession of pain. The repetition of these accessions may solicit the contractions ot the uterus, and determine the expulsion of the foetus. It is there- fore very important to endeavour to remedy it. The treatment consists in bleeding from the arm, laxatives, such as castor oil, salts, lotions of laudanum to the abdomen, and anodyne injections. Revulsives on the arms, by means of mustard cataplasms, and, if the rheumatism be due to metastasis, revulsion should be prac- tised on the place which the pain has just left.* § 12. Convulsions or Eclampsia. Convulsions which affect women in pregnancy, labour, ana after delivery, are of several kinds. We have the epileptic, hysteric, cataleptic, and tetanic eclampsia. The epileptic eclampsia is the most common; it may occur du- ring pregnancy, labour, or as a consequence of deliver}'. As it presents, so far as the treatment is concerned, many important dif- ferences, accordingly as it exhibits itself at one or other of these periods, I will speak of it first as occurring in pregnancy. Epi- leptic eclampsia is rare during the first months of pregnancy ; it does not, in geneTal, occur until the seventh or eighth month. I, how- ever, remarked it in the wife of a young confrere at the second month of gestation; it did not yield until after the expulsion of the fffitus. This accident is, unfortunat&ly, more common than is sup- posed, particularly in hospitals. The contrary opinion, however, has been advanced. According to some writers, in two thou- sand cases of delivery, there were but three cases of eclampsia. * Rheumatism of the uterus must not be confounded with another painful condition of this organ, which manifests itself occasionally during pregnancy, but more frequently in the un- impregnated female. It is neuralgia of the womb, which, in the unimpregnated female, is often mistaken for inflammation, dysmenorrhoea, &c., &c. It is usually met with in ner- vous, irritable women, and is as perfectly marked as neuralgia in any other portion of the system. I have seen several eases of this malady, and it produces most agonizing suffering if it occur during pregnancy, it is apt, if not promptly relieved, to cause premature deliv ery. I have never failed in removing it with quinine. ]^ Sulphate of Quinine, ji. Acid Sulph. dilut.. 3i. Aqua Pluviae, ^viij. One tablespoonful in a wine glass of water three times a day.—Ed.](https://iiif.wellcomecollection.org/image/b21197878_0126.jp2/full/800%2C/0/default.jpg)
