Experimental researches in artificial respiration in still-born children, and allied subjects / by Francis Henry Champneys.

  • Sir Francis Champneys, 1st Baronet
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Experimental researches in artificial respiration in still-born children, and allied subjects / by Francis Henry Champneys. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    McLane (J. W.). New York Med. Jour., May 2Ctli, 1883, p. 582. [See also Ghahhazian. Arch, de Tocologie, Juillet, 1883.] [For discussion on this paper see 'Proceedings of the Royal Medical and Chirurgical Society,'.New Series, vol. i., p. 28.5.] Addendum.—Since tlie above was written, it has been confirmed by a valuable observation of Dr. Robert Boxall, now Physician to the General Lying-in Hospital, recorded in tbe Lancet, Jan. 16, 1887, p. 121, wbicb is as follows :— Mrs. S , aged nineteen, a well-developed but some- wliat delicate-looking primipara, was admitted towards tbe end of the first stage of labour on August 26tli, 1886. Full dilatation of the cervix was reached at 10.20 a.m., and the head passed slowly through the pelvis in the first cranial position. It remained two hours on the perineum, and was eventually expelled without artificial aid at 1.50 p.m. The labour pains were very strong, and towards the end became almost continuous. The patient meanwhile screamed violently. The child, when born, weighed 6i lbs. The placenta was expressed a quarter of an hour after the birth of the child. The uterus subsequently contracted well. About three hours after delivery the patient herself was aware of a soreness in the neck and upper part of the chest. It began about the left sterno-clavicular articula- tion, and thence spread upwards and to the opposite side of the neck. Next morning (27th) a puffy swelling was observed at the root of the neck over the manubrium sterni; it was a little tender on pressure. The skin retained its natural colour. At the apex of both lungs, and especially the left, the percussion note was hyper-resonant, and the breath sounds feeble. The patient had a slight