Contribution to the pathology of puerperal eclampsia / by J. Braxton Hicks.

  • Hicks, J. Braxton (John Braxton), 1823 or 1825-1897.
Date:
[1867]
Catalogue details

Licence: Public Domain Mark

Credit: Contribution to the pathology of puerperal eclampsia / by J. Braxton Hicks. Source: Wellcome Collection.

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    lochia, there was no albumen : it was not examined by the microscope. I am indebted for these facts to the observa¬ tion of Mr. Burton, of Lee, with whom I had seen the case after delivery. This patient had beforehand no symptom of oedema, nor other ailments. Case 3.—Mrs. —, 1860—primipara—was delivered by the forceps for slight contraction of the pelvis. While the instruments were being applied, she had an epileptiform fit, which was twice repeated after labour. The urine drawn off immediately after the first attack had so small a trace of albumen, that it was doubtful whether it possessed it at all. Nine hours after, its presence was strongly marked. Twenty- eight hours after the first attack, no trace of albumen was detectable. She recovered quickly. She was free from any abnormal symptom before the confinement. Case 4.—A. B—, 1866, a well-formed girl for her age, fourteen and a half years, being in labour at full term, was taken with puerperal convulsions of great severity when the head was near the outlet. Forceps were applied, and she was easily delivered. The urine was drawn off after the placenta was expelled : it was examined; no albumen existed. The fits recurred with excessive frequency, with deep coma between; pulse 130 per minute, very weak. This continued notwithstanding treatment, and she gradually became worse, dying thirty-six hours after labour. The urine was drawn off a second time, twelve hours after the first, and then a copious quantity of albumen was very apparent. I am indebted to Mr. White, of Tooley Street, for the notes of this case, which I treated with him.
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