Memoir on the spontaneous expulsion and artificial extraction of the placenta before the child in placental presentations / by James Y. Simpson.

James Young Simpson

Date:: [1846?]

Credit: Memoir on the spontaneous expulsion and artificial extraction of the placenta before the child in placental presentations / by James Y. Simpson. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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$ONE CASES, IN WHICH THE EXPULSION OR EXTRACTION OF THE BIRTH OF THE CHILD. DIVISION. ELAPSED BETWEEN THE EXPULSION OF THE PlaCENTA AND THE BiRTH OF THE ChiLD. Time between birth of placenta and birth uf chilli. Evening before. Several hours. 10 hours. Many hours. A consiilerable time. A considerable time. Several hours. Some hours. Probably some hours. About 0 hours. Above 6 hours. 5 hours. 4 to 5 hours. 4 hours. 4 hours. 4 hours. 3 or 4 hours. 3 hours. About 3 hours. .■\bove 2 hours. .^bove 2 hours. Nearly 2 hours. Less than 2 hours. 11 hour. 11 hour. About 1 i hour. :\r\ hour or more. I hour. I hour. About 1 hour. .\bo\it 1 hour. About 1 hour. .\bout 1 hour. Above * hour. Above J hour at least. At least -i hour, i hour. i hour. I hour. Within i hour. About hour. Presentation of the child. Foo:. Arm. Head. Head. .\rni and head. Crossbirth. Arm and Head, iVbdomen. Head Head and Arm. Head. Head. Shoulder. Head. Head. .\rm. Head. .\rm. Head. Heail. Shoulder. Head, Breech. Breech. Head. Head. Feet. Head. Head. Head. Head. Head. Shoulder. Resulta. To mothc' To chilli. Where reported, or by whom communicate J. Recovered. Dead. Practical Observations, p. 192. Uecovered. Dead. See Case of Mrs H., in Section IL Recovered. Dead. Communicated by Mr Cripps. Died. ... Synopsis, p. 126. Recovered. ... Communicated by Dr Tait, Edinburgh. Recovered. ... Practical Observations, vol. II. p. 23^. Recovered. Dead. Communicated by Dr Smith, Glasgow. Recovered. ... Baudelocque, vol. H. p. 37. Died. Dead. De Morbis Peritonei, p. 33. Recovered. Dead. Communicated by Dr Macaulay. Recovered. Dead. Traits des .\cccuchemens, I., p. 356. Recovered. Alive. Cases in Midwifery, vol. II., ]■>. 28(J. Recovered. Dead. Communicated by Dr Skae, Leven. Recovered. ... Annals of Medicine, vol. IV., p. 308. Recovered. Deatl. Communicated by Dr Radford. Recovered. Dead. Communicated by Dr Radford. Recovered. Deatl. Seen with Dr Graham Weir. Recovered. Dead. Communicated by Dr Radford. Recovered. Dead. Communicated by Dr Ingleby. Recovereti. Dead. Prov. Trans., vol. VU., p 3;iU. Recovered. Dead. Seen with Dr Lewins of Leith. Recovered. Dead. Seen with Mr Hill, Portobello. Recovered. Dead. Communicated by Dr Todd. Recovered. Dead. Communicated by Dr Krascr. Recovered. Dead. Communicated by Dr Railford. Recovered. Dead. Communicated by Dr Smith, GlaSjijow. Recovereti. Putrid. Cofnmimicated by Dr Ramsbotham. Recovered. Putrid. M<5decine Pratique, tom. ii., p. 224. Recovered. Dead. Communicated by Dr Radford. Recovered. Dead. System of Midwifery, p.3(i0. Recovered. Dead. Communicated by Dr Gardiner. Died. Dead. Communicated by Dr Smith, Glasgow. Recovered. Dead. Communicated by Dr Ingleby. Recovered. Putrid. [Communicated by Dr Irvine. Recovered. Dead. Icommunicated by Dr Smith, Glasfjow. Recovered. ... jPract. Obs., Case 1.54, vol. H., p. 220. Recovered. Dead. Communicated by Dr Toild. Recovered. Dead. iCommunicated by Dr Radford. Recovered. Dead. Communicated by Dr Thompson, Hamilton. Recovered. Dead. Communicatetl by Dr Radford. Recovered. Dead. Communicated by Dr sk.te, Leven. Recovered. Dead. [Communicated by Dr Paxton. REMARKS. 20 I found the vagina completely filled with thejjlacenta, and the os uteri firmly contracting upon the funis. 25.' The hemorrhage was very excessive, so long as the placenta was only partially separated, but was immedi- ately suppressed by completely det.iching it. mu 1 . 1, 1. • • V . 27 Dr R saw her ' two hours after the first attack of flooding. The placenta was then wholly m the vagina, but there was not the least hemorrhage; the membranes were ruptured ; the cervix unexpanded. 29 Flooded 9 hours before placenta was expelled, but was immediately suppressed, on Us expulsion. .3()' Dr C. kindiy informs me that the woman recovered perfectly. , ^ . , „ , 31 ^fote by Dr G. There was no flooding previous to the commencement of labour pains, and it was moderate throughout. 32. See case given in full, in Section VI. . ,iu 34. Absolutely no more hemorrhage than in a common natural labour. j ,u • <• . ,, j 37. Dr T. fouiicl the placenta lying in the vagina; the pains were strong and efTective; and the infant was expelled 39 Dr\V'harrte found the placenta partly in the vagina, and partly in the os uteri. He extracted it by a kind of twistingmotion, and the hemonhage immediately ceased. ^ , , ^„ , . ^ In this case, the pains entirely left her after the expulsion of the placenta; a full dose of ergot was given, the OS uteri being fully dilated, and was followed by one or two smart pains, by which the child was ex- pelled.$