Cases of laceration of the uterus : with remarks read May 2nd, 1866 / by Thomas Radford.

  • Radford, Thomas, 1793-1881.
Date:
1867
Catalogue details

Licence: Public Domain Mark

Credit: Cases of laceration of the uterus : with remarks read May 2nd, 1866 / by Thomas Radford. Source: Wellcome Collection.

    10/80 (page 4)
    slightest advance. I felt unable to account for this delay, as there were no symptoms which indicated any unfavorable organic change in the condition of the mother; there was no evidence of any lesion in the uterus, &c. Her counte- nance was natural; her pulse good; her skin warm; and there was no vomiting. Mr. Wood being absent from home, I requested the attendance of my friend Mr. Jordan, who with great kindness came to my assist- ance. He considered the case extraordinary, and recom- mended further and persevering attempts to be made to deliver her. At length Mr. Wood, along with Mr. Tomlinson, a very experienced obstetrician, came, and, after a very careful investigation of the attendant circumstances, they were equally at a loss to account for the cause of the protraction. Powerful traction by means of the napkin round the infant's neck, and by the blunt hook placed in the axilla, was made for a long time before we succeeded in ex- tracting the child, which proved to be immensely large. By an abdominal examination, the uterus was found regularly contracted; and by a vaginal examination I found the edge of the placenta. There was at this time no discharge, and in about a quarter of an hour the placenta was expelled. I again repeated my abdominal and vaginal examinations, which fuUy assured me that all the changes which could be ascertained were those which exist after the most natural labour. A bandage was now applied round the body, and an opiate was administered. At my evening visit I found she had slept, and all my inquiries were most satisfactorily answered. On the 17th, a.m., I found her very comfortable. She had slept; her pulse was 80; she had passed urine; her skin was cool, and her tongue was clean; her bowels were constipated; the lochial discharge was natural. Ordered Decoct. Aloe. Co., and a common enema. At evening I found the bowels had been opened, and in all other respects she appeared to be going on well. Early in the morning of the 18th (being the day but one after her delivery), I was much surprised to find her so much