Obstetrics : the science and the art . be relied on as faithful portraits. Here is a correct portrait of a foetus that was shown to me by , of this city, soon after its birth under his professional care. The great tumor on the vertex consisted of scalp lined with theordinary encephalic meninges, and filled with the water of a vastdropsy of the brain. The posterior part of the parietal and occipitalbones was wanting; some hairs grew on the part of the tumor nearthe vertex; the rest was bald. The child was in other respects well. and very large. The tumor was soft and fluctuating, but n


Obstetrics : the science and the art . be relied on as faithful portraits. Here is a correct portrait of a foetus that was shown to me by , of this city, soon after its birth under his professional care. The great tumor on the vertex consisted of scalp lined with theordinary encephalic meninges, and filled with the water of a vastdropsy of the brain. The posterior part of the parietal and occipitalbones was wanting; some hairs grew on the part of the tumor nearthe vertex; the rest was bald. The child was in other respects well. and very large. The tumor was soft and fluctuating, but notreducible in size by pressure in the hands. Its greatest length wasnine inches. 1 shall refer hereafter to this figure, to that of thedouble-headed monster of Dr. Pfeifler, and to Rita-Christina, and toDr. Boerstlers specimen, to show the necessity and nature of what isi;i Midwifery called Evolution of the foetus in all such cases. Obser- PREGNANCY. 225 vations on the midwifery of the case would be out of place on thispage. F g. M. Serress work, and that of M. G. de St. Hilaire, exhibit a greatvariety of Teratological foetuses, to which I must merely allude, asthe limits of this volume will admit of no extended observations uponthem. I have mentioned them here, chiefly with the view to put the Stu-dent on his guard as to the midwifery of such cases; and still more inorder that he may early learn that these monsters are merely results,not of excess, but of failure in development. The double-headedfoetus, Fig. 63, has two stomachs, and probably two hearts, but onlyone intestinal canal, composed by the union of the two jejunums, orthe two iliums, into a single jejunum or ilium, a colon and child is a twin, which has not acquired a superfluous head, butwhich has lost, one a left, and the other a right arm; one the right,and the other the left half of its thorax—one kidney—half the colonand rectum, half the bladder, testes and penis, and a right or a left leg.


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Keywords: ., boo, bookcentury1800, booksubjectmidwifery, booksubjectobstetrics