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.

    17/80 (page 11)
    time proposed, and again obstinately opposed. In the evening the case of this poor creature was considered hope- less, and therefore no further attempts were made to dehver her An opiate was administered. She continued to suffer pains during the night. At six o'clock the following morning, just seventy-two hours from the commencement of her labour, the pains suddenly ceased, and at this time there appeared to be, as it were, a transference of the abdominal tumour from the hypogastric to the epigastric region. This change evidently pointed out that the uterus had lacerated, and that the infant had passed out of it into the abdominal cavity. She then fell into a quiet sleep, and in four hours she died. Post-mortem examination.—On opening the abdomen, it was found that the anterior and upper part of the cervix and the lower part of the body of the uterus were exten- sively lacerated, and that the infant, with the placenta . and membranes, had escaped into the abdominal cavity. The pelvis was extremely distorted. Remarks.—Unfortunately, this case was brought by Mr. Ransome to be considered by those the great majority of whom were decidedly anti-Csesareanists; and it is especially remarkable how violent party feeling was at one time in Manchester upon the question of the Csesarean section. (See my observations on this operation.) But a strict examination of the capacity of the pelvis ought to have brought conviction to the minds of the most prejudiced opponents of this operation as to its positive necessity in this case. The result of craniotomy further proves what course ought to have been adopted. I have forwarded^for the inspection of the Obstetrical Society, two drawin'^of the pelvis (see figs. 8 and 9), made by my respected friend Mr. Hunt, in order to show the phy- sical impossibility of bringing a mutilated infant through it.