Ten cases of pregnancy and labor, complicated with fibroids : with remarks / by James R. Chadwick.

  • James Read Chadwick
Date:
[1885]
Catalogue details

Licence: Public Domain Mark

Credit: Ten cases of pregnancy and labor, complicated with fibroids : with remarks / by James R. Chadwick. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    On the tenth day there were two severe chills ; the fun- dus was three fingers width above the pubes. There was slight tenderness to the left of the uterus per vaginam. The lochia were scanty and purulent, but not foul. From January 25th the patient presented the usual symptoms of septic in- fection, the temperature ranging from 103° F. to 105°, the the pulse 108 to 120. On January 29th, Dr. John P. Reynolds and Dr. Sewall saw the patient in consultation with Dr. Call, and confirmed the diagnosis. On February 1st, the symptoms began to abate, and had entirely subsided by February 10th. On March 1st, Dr. Call found the uterus still larger than normal, with unusual prominence of the posterior wall. On March 3d, the patient began to menstruate. The flow was moderate and without pain, but lasted eleven days. The -results of these ten cases of pregnancy and labor complicated with fibroids may be thus summarized: Miscarriage, ...... 1 case. Recovery of Mother, . . . . .7 cases. Death .... 2 Living Child, . . . . . . 7 Still-born Child, 2 « With regard to miscarriage, it has been shown by Lefour1 that this effect of the complication of pregnancy with fibroids is not so common as might be expected. In two hundred and twenty-seven cases which he cites, miscarriage occurred but thirty-nine times, which is once in 5.82 cases. These figures show no more liability to miscarriage than in cases of pregnancy uncomplicated with fibroids. The prognosis for the mother, indicated by my cases, is much better than is warranted by the accepted statistics. Thus Lefour2 states, that in two hundred and eighty-six 1 Les fibroines ut&'ines au point de vue de la grossesse et de l'accouche- ment. Paris, 1880, p. 94. 2 Loc. cit., pp. 218-220.
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