A textbook of obstetrics . Beitrage zurPathologie des Eies, Monats. f. Geburtsh., Bd. xxxi, S. 34. 5 Tarnier et Budin, op. a/., p. 474. 6 Pathology of Intra-uterine Death, London, 1887, p. 8. 248 PREGNANCY. Clinical Phenomena of Abortion.—The main clinical phe-nomena of abortion are: (1) Hemorrhage, (2) pain, and (3) theexpulsion of more or less characteristic portions of an impreg-nated ovum. But these symptoms are rarely all manifested in atypical manner in every case. Pain may be absent, hemorrhagenot excessive, and the whole ovum when cast off so small that itescapes unnoticed among the cl
A textbook of obstetrics . Beitrage zurPathologie des Eies, Monats. f. Geburtsh., Bd. xxxi, S. 34. 5 Tarnier et Budin, op. a/., p. 474. 6 Pathology of Intra-uterine Death, London, 1887, p. 8. 248 PREGNANCY. Clinical Phenomena of Abortion.—The main clinical phe-nomena of abortion are: (1) Hemorrhage, (2) pain, and (3) theexpulsion of more or less characteristic portions of an impreg-nated ovum. But these symptoms are rarely all manifested in atypical manner in every case. Pain may be absent, hemorrhagenot excessive, and the whole ovum when cast off so small that itescapes unnoticed among the clots of blood that are dischargedfrom the uterus. Such cases occur shortly after conception, andoften pass for disordered menstruation, while the fact that preg-nancy had begun is not suspected. The duration of abortion varies to an extraordinary French speak of an avert cmcnt instantane and Cazeauxgives an example of a woman who fell upon her buttocks,and, on rising, found on her linen considerable blood and a. Fig. 153.—An embryo surrounded by thickened deciduous membrane (HodgeObstetrical Collection, University of Pennsylvania). six-week ovum. In some cases the expulsion of the ovummay occupy about the time consumed in a normal labor, butvery frequently the process is a much slower one. Days, andeven weeks, may be required for the uterus to get rid of itscontents if left unaided to nature, and it is not rare for a fragmentof the placenta or a portion of the uterine decidua to remainbehind indefinitely, firmly attached to the uterine wall and oftencontinuing to grow and develop, constituting within the uterus atrue pathological new Of the two symptoms, painand hemorrhage, the former is, in early abortions, usually the sub-ordinate one. The hemorrhage is not often excessive, but maybecome alarming. The blood is not expelled in a steady flow, 1 A condition described under the names placental polyp, polypoid hema-tomata. AB OR TIOJV, MISCARRIA GE, AND P
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