. The science and art of midwifery . other, but very bad for thefoetus, since only immature chil-dren are, as a rule, able to passthrough the ordeal of delivery bythis method alive. Kuhn, how-ever, lias reported a case of a child born alive, weighing four and aFig. 222.—Birth with doubled body. iKleinwftchter.) hall pounds and measuring seven- teen inches in length ; and Simon,according to Spiegelberg, collected one hundred and twenty-five casesin which fourteen children were bom living. Three of the one hun-dred and fcwenty-fiye mothers died. In the variety of spontaneousevolution known as ev
. The science and art of midwifery . other, but very bad for thefoetus, since only immature chil-dren are, as a rule, able to passthrough the ordeal of delivery bythis method alive. Kuhn, how-ever, lias reported a case of a child born alive, weighing four and aFig. 222.—Birth with doubled body. iKleinwftchter.) hall pounds and measuring seven- teen inches in length ; and Simon,according to Spiegelberg, collected one hundred and twenty-five casesin which fourteen children were bom living. Three of the one hun-dred and fcwenty-fiye mothers died. In the variety of spontaneousevolution known as evolutio conduplicato corpore which occurs inthe rule in small or macerated children, the prognosis is especiallyunfavorable. In these latter cases J)r. Taylor* recommends, whenthe perinaeum is distended by the doubled body of the child, to makelateral incisions to the extent of three to four inches at the vulva, andthus remove the obstacle to delivery alTorded by the pelvic iloor. * Taylor, Am. Jour, of Obstet., July, lbSi, p. ECLAMPSIA. 5G7 CHAPTEE Definition.—Clinical history.—Prognosis, pathology, and etiology.—Treatment Eclampsia is the term applied to convulsions, tonic and clonic incharacter, the foundation of which is laid in processes connected withpregnancy, labor, and childbed {eclampsia gravidarum, parturientium,velpuerperarum). By this definition it is intended to exclude the con-vulsions due to hysteria, true epilepsy, and cerebral lesions, which oc-currences in pregnancy are to be regarded, simply as accidental compli-cations. In eclampsia there is loss of consciousness during the attacks,with at first a disturbance of the intellectual faculties m the intervals,afterward deepening in severe cases into coma. Before entering upona discussion as to the probable nature of this affection, it is proper topresent a summary of its clinical manifestations. Clinical History.—Eclampsia is fortunately a tolerably rare estimated frequenc
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