Hyperemesis gravidarum with reference to its etiology and treatment : dissertation presented for the M.D. degree, the Victoria University / by John M.H. Martin.

  • Martin, John Michael Harding, 1847-1906.
Date:
[1892]
Catalogue details

Licence: Public Domain Mark

Credit: Hyperemesis gravidarum with reference to its etiology and treatment : dissertation presented for the M.D. degree, the Victoria University / by John M.H. Martin. 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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    diseases of the uterus and appendages, though not a constant accompaniment, it is more frequent than not. In dysmenorrhoea due to stenosis of the cervical canal, to indurations, cicatricial inequalities, and during inflammatory conditions, it is a question whether the accompanying vomiting is not more distressing to the woman than the pain. A point very obvious to most practitioners and which has been constantly remarked upon, viz., the comparative absence of this symptom in the lower classes of society, and its more frequent appearance in the educated and refined, is explained by the fact that smaller—I wish to emphasise the fact—smaller, not deformed pelves, and a more sensitive, nervous organisation, are more often found in those moving in the so-called upper stratum of society. The following is a life-history in illustration of this symptom :— A. B., now living, a lady of education and culture, set. thirty-six years, and in the enjoyment of excellent health since the birth of her last child eighteen months ago, with the exception of some temporary menstrual irregularities caused by family troubles. I am assured the husband has never had syphilis, nor is there any suspicion of it whatever. Father, set. seventy-two, and mother, set. seventy-one, are alive and in good health, and active beyond their years. She has one sister and four brothers alive and well; one brother died abroad. When thirteen years old she first menstruated,
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