Essays on the puerperal fever and other diseases peculiar to women : Selected from the writings of British authors previous to the close of the eighteenth century / Ed. by Fleetwood Churchill.
- Fleetwood Churchill
- Date:
- 1849
Licence: Public Domain Mark
Credit: Essays on the puerperal fever and other diseases peculiar to women : Selected from the writings of British authors previous to the close of the eighteenth century / Ed. by Fleetwood Churchill. 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.
530/580 page 518
![of extravasated blood comes to be so great as to burst through the teguments. This case, however, must occur but seldom ; for a gentleman of this city, who has had very extensive business as an accou- cheur for forty years, assures me he never met -with it, though in a practice of little more than half that time I have seen two ; as such cases, therefore, must happen sometimes, and when they do, cannot fail to terrify both the patient and the attendants, it may be of use to give a particular history of all the circumstance 8. One morning, in the month of August 1766, I was called on by a gentleman's servant to visit his wife, who, he said, had been delivered about an hour before, but nevertheless continued in very great pain, and by the people about her was believed to be in a dying way. Upon examination I soon found that the distress was occasioned by a large and very painful swelling of one of the labia, which the woman told me had formed itself soon after delivery, though she had had a natural and easy labour.1 pudendi labium ingenti tumore distensuin fuisse, quo aperto sanguineque atro paulatim evacuato, miilieres evasere. Dr. Macbride, however, was the first in Great Britain to draw the attention of the profession to this alarming occurrence: his cases were published in 1776. Since then similar cases have been repeatedly recorded. Dr. Rainy, of Dublin, read a case in 1774; Dr. Maitland published one in 1779 (Med. Comment., vol. vi, p. 8G); Mr. Perfect, one in 1783 (Cases, vol. ii, p. 63). Denman met with three such cases; and the accident is mentioned as one of the complications of labour by Burns, Mcrriman, Dewees, Hamilton, Campbell. Davis, &c., and by the more recent writers on niidw ilYrv. Cases are also related by C'baussier (Diet, des Sciences Med., vol. xx.xiv, p. 208), by Madame la (hapelle (Prat, des Accouchem., vol. vi, p. 200), and by a writer in the ' Recncil pe'riodique dc la Socicte de Saute dc Paris.' It has been described by Schreider (Siebold's Journal, vol. xi, p. 103), by Baer (Medicina Obstetricia), by Siebold (Frauenzimmerkrankheiten, vol. ii, p. 182), by Ebert, Cams, Naegele, Stendel, and others. From these references we may, at least, conclude that although the accident is by no means common, yet that it is not quite so rare as Dr. Macbride had then reason for believing. A siitlicieiit number of cases have been recorded to enable us to form an opinion as to the causes, to recognise the symptoms, to appreciate the danger, and to decide upon the treatment.—En.] 1 [The accident may occur either during the process nf labour,or after its termination. in Dr. Maitland's, Mr. Perfect's, M. Naegele's, Stendel's, and other cases, it occurred previous to delivery; in BDlUe a1 a rather earlj BtSgeof the labour. Of course, iii Bucfa cases it offers a considerable impediment to the exit of the child; in some cases](https://iiif.wellcomecollection.org/image/b21030170_0530.jp2/full/800%2C/0/default.jpg)
