Obstetrics : the science and the art . was thirty-three years of has not had a child during the last fourteen , having pre-viously given birth, I believe, to two children. Throughout the whole course of the present gestation, she has suf-fered with distressing, most distressing, nausea and vomiting. She ispale and emaciated. Has had frequent bloody vaginal dischargesfrom the beginning of the pregnancy until now—expects her accouche-ment about the tenth proximo. At six P. M. she was attacked with flooding, since which time shehas lost probably more than eight ounces of blood, whic


Obstetrics : the science and the art . was thirty-three years of has not had a child during the last fourteen , having pre-viously given birth, I believe, to two children. Throughout the whole course of the present gestation, she has suf-fered with distressing, most distressing, nausea and vomiting. She ispale and emaciated. Has had frequent bloody vaginal dischargesfrom the beginning of the pregnancy until now—expects her accouche-ment about the tenth proximo. At six P. M. she was attacked with flooding, since which time shehas lost probably more than eight ounces of blood, which still con-tinues to ooze slowly away. They showed me a hard vaginal coagu-lum, larger than the whole thumb. Figure 98, annexed, representsthe size of the os uteri and the thickness of its edges: the posteriorlip, which is muc% thicker than the remainder of the circle, is seen onthe left side of the plan ; this lip is prolonged into a tumor that bleedsat the slightest touch, and is evidently a mass of carcinomatous tissue Fig. in open ulceration. The figure, half size of nature, gives a correctnotion of the profile of this tumor, and of the degree of the apertureof the os uteri, in which the childs head is represented as pressing 491 PRETERNATURAL LABOR . 1. upon the cervix and os. The tumor is seen in profile descending into the vagina. Figure 9-i gives a frontview of it. The tumor is hard, whollyundilatable, so that the whole of the dila-tation hitherto effected, has been effectedat the expense of three-fifths of the circle,the remaining heterologue two-fifths nothaving furnished anything to the dilata-tion, or, if anything, an to the decision in consultation, she got an enema of forty five drops of laudanum mixed in a fluidounce of clear 19th, 12 M. She slept well after the enema, and has had no pain to-day. 21st. Has continued well up to 3 P. M. to-day, when she was seized with the pains of labor, attended with inconside


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Keywords: ., boo, bookcentury1800, booksubjectmidwifery, booksubjectobstetrics