A textbook of obstetrics . o years in the abdomen (Baer). i i570- Jem. Physiol., vol. iii, p. 314, quoted in Tarnierel Budin, op. THE DISEASES OF THE FETUS. 173 enlargement of the abdomen ; but should the germs of putrefac-tion ^ain access to the dead body, as they may by reason ofthe contiguity of the intestines (Litzmann), then a general sup-purative peritonitis may be developed and rapidly prove , too, in the retention of blighted ova1 or in cases of missedlabor2 there is usually no evidence of serious harm to the motheruntil the putrefaction of the dead body begins, when there mayb
A textbook of obstetrics . o years in the abdomen (Baer). i i570- Jem. Physiol., vol. iii, p. 314, quoted in Tarnierel Budin, op. THE DISEASES OF THE FETUS. 173 enlargement of the abdomen ; but should the germs of putrefac-tion ^ain access to the dead body, as they may by reason ofthe contiguity of the intestines (Litzmann), then a general sup-purative peritonitis may be developed and rapidly prove , too, in the retention of blighted ova1 or in cases of missedlabor2 there is usually no evidence of serious harm to the motheruntil the putrefaction of the dead body begins, when there maybe shortly manifested all the symptoms of septicemia, unlessthe uterine cavity be speedily cleared of its contents and welldisinfected. It is by no means an easy matter to determine whether ornot the fetus has ceased to live. If its death should haveoccurred during the early part of pregnancy, the uterus willusually cease developing and the circumference of the abdomen /£* \\<. Fig. 121.—Calcification of cap- Fig. 122.—Lithopedion. Two years sule (in abdomen unknown length of in abdomen (Baer). time). will no longer increase steadily from week to week ; the breastswill soon become flabby, although it is not rare for milk to ap-pear for a time after the death of the fetus ; the woman maycomplain of subjective symptoms, as a feeling of weight and dis-comfort in the hypogastric region (Lusk); but the doubt willusually soon be solved by the expulsion of the ovum. It isnot rare for the lacteal secretion to be established three or fourdays after the death of the fetus, with all the phenomena char-acteristic of that function after delivery (Tarnier). Should the 1 See Gehrung, Weekly Med. Review. Chicago, 1885, p. 131; Westmins-ter Hospital Reports, 1885, i, 119; TokioMed. Journ., 1S86, No. 439. Graefe,in Ruges Festschrift; Stager, [naug-Diss., Bern, 1895. 2 , Science and Art of Midwifery, [886, p. 304. 174 PREGNANCY. fetus die in the later months of pregna
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