On visceral hæmorrhages in stillborn children : an analysis of 130 autopsies being a contribution to the study of the causation of stillbirth / by Herbert R. Spencer.

  • Spencer, Herbert R. (Herbert Ritchie), 1860-1941
Date:
[1892]
Catalogue details

Licence: Public Domain Mark

Credit: On visceral hæmorrhages in stillborn children : an analysis of 130 autopsies being a contribution to the study of the causation of stillbirth / by Herbert R. Spencer. Source: Wellcome Collection.

    86/130 (page 276)
    Hemorrhage into the cortex and beneath the envelope was noticed on two or three occasions [PI. V, fig. 1]. Hemorrhage into the medulla occurred in . 24 cases. „ „ on both sides in .12 ,, „ ,, on the right side in 4 ,, „ „ on the left side in 8 ,, The hasmorrliage had burst through and extensively ruptured the capsule in 3 cases. Of these I have notes of the delivery in 2 ; they were large children, one weighed 8 lbs., was hydrocephalic, presented by the breech and was delivered by traction ; the other weighed 8f lbs. and was delivered by version and traction through a contracted pelvis. Of the 24 cases of haemorrhage into the medulla of the supra-renal capsule, I have notes of the delivery in 22. Of these were delivered as natural vertex . 7 cases, 77 77 as breech or footling (7 with traction) 8 77 77 77 by podalic version . (2 with traction) 4 77 >7 77 by forceps 2 77 >7 77 by cephalotripsy 1 case. From this it will be seen that delivery by the lower pole (especially when traction is employed) greatly favours the production of this injury. The normal supra-renal capsule in the new-born child shows on section a narrow, yellowish-grey cortex and a reddish-brown medulla, along the middle of which is a thin red line where the halves of the medulla are apposed, and in this line (usually about its middle) is a small, round, dark-red spot, which is the section of the central vein ; occasionally there are two or more such veins along the central line. When the medulla of the organ assumed a deep red or black-red colour encroaching upon the cortex, and differed thus very obviously from organs which show no injury (either to the naked eye or the microscope), the organ has been considered to be “ congested in every case