On severe vomiting during pregnancy : a collection and analysis of cases with remarks on treatment / by Graily Hewitt.

  • Hewitt, Graily, 1828-1893.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: On severe vomiting during pregnancy : a collection and analysis of cases with remarks on treatment / by Graily Hewitt. Source: Wellcome Collection.

    58/184 (page 42)
    during operation. Patient recovered. Two days afterwards uterus found decidedly anteverted. Case 81. (Case 8 of his series.) Horwitz, loc. cit. JEt. 31. Formerly treated for dysmenorrhea, menor- rliagia, and sterility. There had been considerable anteflexion, and severe cervical endometritis. Treatment was successful, patient conceived, but aborted at third month; symptoms returned. Patient went abroad, had a child, subsequently returned home. Patient now two and a half months preg- nant, suffering from severe vomiting ; portio vaginalis much thickened, softish, displaced much backwards and to left; the fundus much larger than it should be, rather hard, bent for- wards and to the right side. Speculum shows decided red- ness of cervix and eversion of anterior lip especially. Treat- ment : sedatives, some scarification of anterior lip and application of caustic, nutritive enemata, &c. Condition after two weeks' treatment worse. Artificial abortion decided on, procured by use of sponge and sound, and concluded in three days. Patient recovered well. [It is not stated whether rediession was attempted or not.] Case 82. (Case 9 of his series.) HoEWiTZ, loc. cit. Mt. 20. Primipara. Nausea set in early, severe vomit- ing quickly followed, and patient's condition became very serious. Ordinary measures useless. Portio vaginalis conical, rather hard, lies very low, and only slightly deviating back- wards ; uterus corresponds to two and a half months' gesta- tion, very decided anteflexion; fundus very sensitive to touch, especially on attempting correction of its position. Hot douches prescribed. After two days no improvement; vomiting incessant, great exhaustion, pain in abdomen. Copeman's treatment was attempted ; bougies used to dilate the cervix, and after a time finger could be introduced. Following day cervix still more dilated, effect on patient s condition trifling. Two days later death imminent. Arti- ficial abortion was then induced, and ended in two days. J He vomiting occurred a few times after emptying of uterus and