The American Medical Intelligencer, Vol. 4

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Excerpt from The American Medical Intelligencer, Vol. 4: A Concentrated Record of Medical Science and Literature, From April 1, 1840, to April 1, 1841On the present occasioni wish to call your attention to the subject of uterine hemorrhage, in one of its most peculiar and imminently dangerous forms - I mean hemorrhage accompanied by a detachment of the placenta, together with an infiltration of blood in its substance, constituting what has been termed placentary apoplexy, and arising about the close of pregnancy. It may occur either independently of labour, or whilst labour is progressing. The one object I have in View being to have the matter fully understood by you'ell, I will enter Upon the subject without further preface, studying only plainness and clearness of description.I have said I wish to call your attention to hemorrhage, accompanied with detachment of the placenta. First of all, then, I would have you observe, that the detachment usually commences about the centre of the mass, and extends to every part of it, the edge excepted, which maintains its natural apposition, consequently, a large quantity of blood soon becomes confined between the placental and uterine surfaces. The uterine tumour at these points becomes raised in proportion to the amount of effusion, its rapid aug mentation constituting the most striking feature in the case. But it is im portant to observe, that the effusion may commence any where between the centre of the placenta and its edge, which almost necessarily becomes more or less detached, so that whilst a large coagulum is confined, partly under neath the placenta and partly exterior to the membranes, the liquid blood continues detaching the membranes until it reaches the vagina I have seen both forms of hemorrhage. The first, or concealed form, from its greater liability to deceive the practitioner than the second, may be regarded as'the more dangerous case, although the extent of hemorrhage in thisform is less considerable than in the other. I shall presently state a remarkable excep' (ion, but this, as a rule, is generally correct.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.