Syllabus of the obstetrical lectures in the Medical Department of the University of Pennsylvania / by Richard C. Norris.

  • Norris, Richard C. (Richard Cooper), 1863-1937.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Syllabus of the obstetrical lectures in the Medical Department of the University of Pennsylvania / by Richard C. Norris. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    2. Shock.—Lowered temperature and other symptoms of shock may develo]) after kibor. 3. Typhoid.—Rare. Premature labor occurs in 65 per cent, of cases. 4. Pnetononia or otJter Adynamic Diseases.—Require stimulants. Whiskey, digitalis, carbonate of ammonium administered in the first stage and labor terminated. 5. Vahular Defect in Heart.—Extensive mitral disease fre- quently causes death. The heart is embarrassed during pregnancy or labor, and manifests its weakness directly after the expulsion of the child or placenta. When the discharge of blood is profuse, car- diac failure is rare in these cases, thus indicating the treatment : Venesection, removing 8-16 oz., if there is not much blood lost after labor. Digitalis should be given in the first stage, and forceps or version and extraction resorted to in the second. Sudden Death during or directly after Labor. Causes.—1. Pr<found Mental Impressions., as sudden joy, grief, fear, exaggerated shame. 2. Thrombosis, resulting from excessive pains. 3. Heart failure, most frequently due to fatty degeneration. 4. Some Complications, as accidental, unavoidable, or post-partum hemorrhage, ruptiu^e or inversion of uterus. 5. Rupture of Hcematoma, externally or internally. 6. Syncope.—This is not usually fatal. It is favored by the deter- mination of blood from the brain, as by hemorrhage. Thromboses in the heart may form, and those in the uterine sinuses may be pro- longed and embolism result. 7. Embolus.—Maybe the result of syncope, or it may be caused by entrance of air. Symptoms.—Sudden shock, heart failure, death. 8. Ruxjture of Gastric Ulcer. Effect of Maternal Death upon the Foetus.—The foetus sui-vives rarely more than a few minutes. It has lived for two hours. When making an autopsy on a jjarturient woman, it is convenient to split the symphysis and remove the genital tract in one piece.