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Practical Observations in Midwifery, With a Selection of Cases (Volume 1)

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Pages: 84

Language: English

Book format: An electronic version of a printed book that can be read on a computer or handheld device designed specifically for this purpose.

Publisher: General Books LLC (5 Feb. 2012)

By: John Ramsbotham (Author)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1821. Excerpt: ...!...!... i:.:.. I, '. j./'f If. ' '.!.... ...':' Ujixftl ON 'i.ii..' I.:.'.'....'ii':.. 'fft) ADHESION OF THE PLACENTA. i,'Tii !' '.... '.!:-ijninl'! it:.. n.'!'v I.! !an v)iJ t'.' Hi!m: I'i..': '. '. '.--.,...'HUii Adhesion of the Placenta to its uterine surface is by no means an uncommon occurrence, but it can seldom be positively known, until the hand is introduced for its removal: for We have sometimes to contend with similar symptoms when it is merely retained, and when it is more or less adherent. We may, indeed, suspect it to be the case, when the Placenta is out of the reach of the finger: when the Uterus continues large and high: when there is a sense of retraction on pulling at the Funis: and when there is a threatening of flooding: but I know, at present, no external mark, which certainly points it out. I have now and then remarked an irregularity in the shape of the uterine tumour: a hollowness or deficiency in its globular form: or a conical pointedness at its.fundus: when I have been called upon to separate an adherent Placenta: but I suspect these are accidental appearances, and not essential to the case.!1.... .: '..'.i..?. .' Placental adhesion is met with after all kinds of labours: as frequently after easy, quick, and natural ones: as after those, in which uterine energy has been exhausted: or those, in which manual or instrumental assistance has been required. Its quantity and degree is variable in different instances: in some, nearly the whole mass is found in an adherent state: in others, only a small portion ot it: yet the symptoms are equally violent. Sometimes the Placenta seems merely to retain its original attachment: it is readily separable by the hand: but it is not to be detached by uterine effort: nor can it be withdrawn by...


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