The practice of obstetrics, designed for the use of students and practitioners of medicine . dy overtaxed venous walls makes them rupture, with the consequent apo-plexy or extravasation. Traumatism also may produce this condition; for ex-ample, a blow upon the abdomen. If the cause be of fetal origin, death mayresult from the arrested blood-supply. Symptoms.—There are no clinical symptoms characteristic of this condition terminates in abortion. When the discharged ovum is examined,the cause will be apparent. Prognosis.—The danger increases with the advance of pregnancy, and inthe
The practice of obstetrics, designed for the use of students and practitioners of medicine . dy overtaxed venous walls makes them rupture, with the consequent apo-plexy or extravasation. Traumatism also may produce this condition; for ex-ample, a blow upon the abdomen. If the cause be of fetal origin, death mayresult from the arrested blood-supply. Symptoms.—There are no clinical symptoms characteristic of this condition terminates in abortion. When the discharged ovum is examined,the cause will be apparent. Prognosis.—The danger increases with the advance of pregnancy, and inthe latter months it is considerable. Treatment.—The treatment is that of abortion and premature labor. 5. Placentitis.—To-day it is admitted that inflammation of the placentamay occur, even if very infrequently. The best argument for the existenceof placentitis as a disease is the great number of progressive and retrogres- ^—-^ sive lesions, encountered in the organ,which are known to follow inflamma-tion in other portions of the body. Theprincipal objection to the recognition. Fig. 275.—Fresh Hemorrhagic InfarctOF THE Placenta.—{Schilling.) Fig. 276.—Placental Infarct in Eclamp-sia. Subamniotic Necrotic Area.—(Schaeffer.) of the existence of placental inflammation lies in the absence of capillaries andnerves in the maternal portion. Placentitis may be divided into acute andchronic forms, (i) Acute septic placentitis: This affection is mentioned byauthors as having been caused by direct infection either from attempts atcriminal abortion or from rupture of a pyosalpinx into the uterus. Pusforms in situ, and with the phenomena of general sepsis, abortion results.(2) Gonorrheal placentitis: According to Donat, the gonococcus is able tocause an acute purulent inflammation which extends from the decidua sero-tina into the fetal placenta and produces interruption of pregnancy. VonFranque is skeptical as to the existence of this type of disease. (3) Eman-uels diseas
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
