The principles and practice of obstetric medicine and surgery : in reference to the process of parturition / by Francis H. Ramsbotham ; with notes and additions by William V. Keating.
- Francis Henry Ramsbotham
- Date:
- 1857
Licence: Public Domain Mark
Credit: The principles and practice of obstetric medicine and surgery : in reference to the process of parturition / by Francis H. Ramsbotham ; with notes and additions by William V. Keating. 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.
756/770
![IT THUS APPEARS, That out of 48,99G deliveries, there -were 536 cases of twins : 1 in 91-4 ; or 1-094 per cent.; and three cases of triplets: 1 in 16,332; or 00061 per cent. That of the 49,538 children born, 25,629 were males: 51-736 per cent; 23,909 were females: 48-264 per cent. ; or, in other words, that the excess of males over females was as nearly as possible 3 5 per cent. That 48,160 were presentations of some part of the head, of which 162 were face presen- tations: 1 in 297-06; or 0-336 per cent.; and 6 were ear presentations: 1 in 8026-7; or 00125 per cent. That 1220 were presentations of the breech, or some part of the lower extremities: 1 in 40-6; or 2-402 per cent.; and 158 transverse presentations: 1 in 313-53; or 0-0319 per cent. That 47,716 were born living: 96-3 per cent. That 1822 were born still: 1 in 27; or 3-7 per cent. That 220 women died either within a month after delivery, or from the effects of labour: ] in 222-7 ; or 0-45 per cent. But that only 162 of these deaths could be attributed to a puerperal cause: 1 in 302-5; or 0-3306 per cent. That 83 were placental presentations, either partial or complete: 1 in 590-3 cases; or 0-17 per cent. That in 268 cases the placenta was retained, or adherent, requiring the introduction of the hand for its removal: 1 in 182-82 ; or 0-547 per cent. That 159 were cases of accidental haemorrhage: 1 in 308-15; or 0-325 per cent. That in 108 cases haemorrhage took place after delivery of the placenta: 1 in 453-7; or 0-2205 per cent. That 43 were complicated with convulsions either before or after delivery: 1 in 1139-44; c~ 0-09 per cent.; and 2 with apoplexy after labour. That 60 women were delivered by craniotomy: 1 in 816-6; or 0-123 per cent. That 73 were delivered by the forceps: 1 in 671-2; or 0-119 per cent. That in 23 premature labour was induced: 1 in 2130-26; or 0047 per cent. That there were 8 cases of ruptured uterus: 1 in 6124-5; or 00164 per cent. ; 1 of rup- tured vagina; and 2 of lacerated labium: 1 in 24,498; or 0-004 per cent. That 6 were cases of breech presentation, requiring instrumental delivery: 1 in 8256-4; or 00121 per cent.; and that in 5 cases of twins, the second child was delivered by turning: 1 in 9799-2 ; or 00102 per cent. That of the 162 deaths from puerperal causes, 66 were from haemorrhage, either immediate or remote : 1 in 2-46 ; or 40-75 per cent. That the deaths from haemorrhage, either immediate or remote, in proportion to the whole deliveries, were 1 in 742-37; or 0-135 per cent.; and in proportion to the number of cases of haemorrhage: 1 in 9-2 ; or 10-9 per cent. That there was 1 death from convulsions, which came on before delivery. That there were 2 deaths from convulsions, which came on after delivery: 1 in 24,498; or (004 per cent, of the total deliveries; the cases of death from convulsions being nearly 1 in every 14 3 cases of that disease. 0 after craniotomy: 1 in 10; or 10 per cent, of the cases in which that operation was per- formed; and 1 in 8166; or 0 0143 per cent, on the whole number of deliveries. 3 after the forceps had been used: 1 in 24-3; or 4 11 per cent, of the cases in which that instrument was employed; and 1 in 16,332; or 00061 per cent, on the whole number of de- liveries. That 30 women died of peritonitis: 1 in 1633 2; or 0-061 per cent, on the whole number of deliveries; and 1 in 5-4; or 18-52 per cent, of the deaths from puerperal causes. 15 of hysteritis: 1 in 3266-4; or 003 per cent, of the whole number of deliveries; and 1 in 10-8; or 9-26 per cent, of the deaths from puerperal causes. 3 of diffused pelvic inflammation: 1 in 16,332; or 00061 per cent. 3 of common fever, caught after labour: 1 in 16,332; or 00061 per cent. 3 of puerperal mania. 3 of apoplexy after labour. 5 of pneumonia taken after labour: 1 in 9799-2; or 0-0102 per cent. 1 of acute bronchitis; 1 of inversion of the uterus; 1 of interitis; 3 of intestinal irrita- tion; and 2 of collapse. THE TABLE ALSO SHOWS, That of the 58 deaths not attributable to puerperal causes, .'4 were from diseases of the lungs, or the air passages, of which 22 were confirmed phthisis; and that](https://iiif.wellcomecollection.org/image/b21007135_0756.jp2/full/800%2C/0/default.jpg)
