Volume 1

Cyclopaedia of obstetrics and gynecology ... / [edited] by Egbert H. Grandin.

Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Cyclopaedia of obstetrics and gynecology ... / [edited] by Egbert H. Grandin. Source: Wellcome Collection.

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

    506/540 (page 484)
    Whatever the precautions, extei'nal measurements cannot give us exact figures. During the year 1880, while substituting for Depaul at the Clinique d'Accouchements, I endeavored to determine the exact dimen- sions of the uterus, by measuring the depth of the cavity of every woman before she left the hospital, about the fifteenth day after confinement, I thus examined 83 women. I believed I was the first to do this, when Budin called my attention to similar experiments made by Sinclair of Bos- ton. My conclusions, as will be seen, are nearly similar to those of Sin- clair. The only difference is that, having made his measurements on the seventeenth day, his figures are a trifle less than mine. My personal re- searches are contained in the thesis of my pupil, Dr. Avrard, published in December, 1880. In 1881, Milsom, without being aware of either my experiments, or those of Sinclair, followed the same method with the hysterometer, the measurements being made about the tenth day. He has further made measurements from the thirtieth to the fiftieth day after delivery, thus determining, in a measure, the duration of involution. [Oharpentier here inserts the elaborate tables drawn up by Sinclair of Boston. Since our readers have ample access to the original, in the Trans- actions of the American Gynecological Society, Vols, for 1879, 1881, and to the continuation of these tables by Richardson, of the same city, in the volume of the same series for 1882, we omit them here, giving simply the comparative tables of Sinclau-'s and Charpentier's experiments.—Ed.] The comparative length of the uterine cavity, in primipariB and in mul- tiparse, as deduced from our own experiments and from Sinclair's, is: MULTIPAKiE. Sinclair. Oharpentier. From 8th to 10th day 15th 2->d 22d 30th 30th 40th 42d day . 60th . 115th No. 23 5 2 Length. 2.7 inches. 3.1 2.7 No. 29 9 1 1 1 1 Length. 3.1 inches. 3.1 3.1 3.9 2.7 3.1 In the last four cases the puerperal state had been complicated by peri- tonitis, metritis, albuminuria. The last had required forceps for extrac- tion of a child weighing eleven pounds. PRIMIPARiE. Sinclair. Oharpentier. From 8th to 10th day 15th 22d 22d 30th 30th 40th 40th 50th No. 50 17 5 4 o Cavity. 2.7 inches. 2.7 3.1 3.1 No. 23 12 1 1 Cavity. 3.1 inches, 3.1 3.1 4.3