Two cases of impracticable labour arising from malacosteon of the pelvis, in which the caesarean operation was performed; accompanied with practical observations / [Thomas Radford].

  • Thomas Radford
Date:
[1841]
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of impracticable labour arising from malacosteon of the pelvis, in which the caesarean operation was performed; accompanied with practical observations / [Thomas Radford]. Source: Wellcome Collection.

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    still further sinking. At six o’clock in the evening she expired, having lived sixty-seVen hours and a-half after the operation. Remarks.—It may appear strange that no notice was taken of this poor woman’s case at an earlier period of pregnancy, as she was a patient of the Lying-in-Hospital. But our hospital ex¬ tends its aid only to poor women at their own houses; and this poor creature having obtained a note of recommendation from a subscriber, was admitted, the medical officers having no knowledge that such a case was on the books. Another unfortunate circum¬ stance was the midwife omitting to send for other surgical assist¬ ance in the absence of Mr Wilson, thereby allowing several va¬ luable hours to elapse. The violent contraction of the uterus, by which the head and left arm of the child were seized after the extraction of the trunk and lower extremities, forms a remarkable feature in the case. The placenta was found detached and lying loose in the cavity of the uterus, and how far this violent contraction depended upon this circumstance is difficult to say. In natural labour, we well know that, as soon as the placenta is detached, the energies of the fundus and body of the uterus, are aroused, and contraction follows, and is continued until this mass is expelled. In the for¬ mer case of Caesarean operation, the uterus was quiescent, until the placenta was detached by the hand, when contraction instan¬ taneously followed. To these two cases, I purpose to add some observations on the Caesarean operation in a future number of this Journal. Manchester% November 1840* PRINTED EV JOHN STARK, EDINBURGH.
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