On examination, I found blood coming away rapidly, the uteri the size a crown-piece, with a bag membrane protruding.
Introducing hand into the vagina in order make a proper search for the placenta for the child was still above the pelvic brim, vertex presenting, I could not find though I passed thesis writing practice fioger well I into the uterus and round the neck. As the haemorrhage still went and there was a dilatable with a little labor-pain, I gave a full dose ergot, and ruptured the membranes. The haemorrhage at once ceased manual dilatation, accompanied abdominal frictions, I delivered a dead male child.
succeeded great haemorrhage.
On endeavoring ascertain the cause the haemorrhage, I found the uterus large and only partially contracted, and that evidently another foetus was On examination, per vaginam, the uteri was filled with the placenta, which was partly adherent I introduced left hand, detached the whole placenta, and brought cat the bedside.
It was double battledoor and clotted over half its extent, as in the former case. On the removal the placenta the haemorrhage at once ceased. By stimnlating the uterus contract means abdominal frictions, a second child was soon bom in about five or six minutes, wrapped in its membranes. The child was alive, and lived thirty-six hours. The uterus contracted well, and the mother has done admirably.
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Bemarks. First all, whence the haemorrhage? Evidently from the uterine sinuses which were left open in the nursing thesis semrcontracted state the uterus after deliveiy the first child.
In both cases the haemorrhage might called accidental.
In the first case, probably the haemorrhage was in utero before the birth the first child, and was concealed accidental. In the second case the haemorrhage was early, and, as the placenta could not found mination, might call pure accidental.
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Secondly, what about the placenta? In the first case may conclude that the placenta the first child had been separ rated during labor, and not before, as there no history strainings or hard work in this case.
That essay writing service reviews this probable borne out help with essay introduction the history sudden fainting the mother, great haemorrhage, and dead child, In the second case, where there was one placenta, more properly online proofreaders speaking, two placentae joined into one, probable that the mother caused separation that part the placenta belonging the first child some time before labor set hence the early essay paraphrasing activities for middle school writing service discount haemorrhage and the death the first child and very likely that the help on research papers previous detachment part the placenta, aided pressure blood-clot and uterine contractions, caused the whole placenta detached and slip down or turn over upon the uteri. I have mentioned that buy phd thesis online I felt the placenta partly adherent this adhesion was in all likelihood membranous. It interesting in this case find the second child alive, even though the placenta Thirdly, I have said that the placenta presented with the second child. I not mean say that these cases were such as are usually denominated placenta via, where the site the placental attachment partly or wholly over the uteri, but only that a condition existed, belonging both cases, that examination there was extensive hsBmorrhage, and a placenta Such cases as I have narrated are extremely rare I have searched the works numerous obstetricians, and have been Dangerous as accidental hemorrhage and more accidental concealed, I should say that haemorrhage arising from causes such as I have narrated much more dangerous, because, when one child in utero, usually get good uterine contractions setup, and consequent closure the mouths the uterine sinuses but, in cases twins, there often a considerable period time between the birth the first and the second child, and can easily see the extreme danger that might arise were the first placenta become detached, and the uterine contractile action cease. One can fancy with horror such a case. Now as treatment I did not lose any time when the urgent symptoms were declared. In the first case, I turned and delivered, giving ergot, and stimulating the uterus contract manual frictions over the abdomen. In the second, I followed Professor Simpson's plan, and detached the entire placenta, and followed out similar secondary treatment that in Widow, aet.
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