Following almost immediately upon this cessation menstruation have a history nausea and vomiting, a condition occurring frequently among pregnant women in the early hours the day, that is generally known, both the profession and laiiy, the name morning sickness.
These two symptoms, taken in connection are strongly suggestive pregnancy, but they are not diagnostic.
I think the value this latter sympton has been exaggerated writers obstetrics, for no uncommon occurrence for women this hospital, far advanced in pregnancy, tell that they have never been at all nauseated during the whole course gestation. When present this symptom strongly suggestive pregnancy, but so frequently absent in normal gestation that you can no means infer that women who not present this symptom are not pregnant. But where in addition the symptoms mentioned hysical examination shows that the uterus enlarged, are almost certain that pregnancy exists.
We can not absolutely certain for the fetal heart sound the only absolutely reliable sign of pregnancy and that not demonstrable umil gestation further advanced than in the case now before The question rendered still more uncertain the fact that the tumor felt above the pubes may possibly something else than tlie enlarged uterus, may mistaken in the signs obtained physical examiniaion.
The only way determine this point positively would to insert the uterine sound.
If found the cavity the uterus elongated there could no further question as the enlargement that organ But a cardinal rule in obstetric practice never use the sound when even a suspicion preg nancy exists. Hence can only make a relative not a positive diagnosis in this case, but the collection symptoms such that may be morally certam that pregnancy does not exist or The patient's history as obtained the house physician, also tells that she took tansy tea to bring her menses.
This a household remedy little or no potency, but not with the oil tansy. The latter a very dangerous drug.
A number cases have been custom essay UK reported recently, where small quantities taken cause menstrual flow have been attended with fatal results. There no drug in common use that at all reliable as an abortefacient.
The experience this hospital proves this conclusively for a majority the patients admitted the obstetric wards have made at least one, more otten several attempts interrupt gestation means drugs.
The fact their applying for admission, here shows that their confidence in these popular measures for destroying During the past week, the woman now before has suftered from uterine hemorrhage, but as she did not enter the hospital till night before last, we are unable tell what was expelled from the uterns, but no clots have been pissed far as are able ascertain.
A prominent French obstetrician coursework writer has recently published an article, and you vviU find now going the rounds the medical press, in which says possible distinguish an abortion in the early months pregnancy from a return sup ressed or delayed nienses presence of clots in the flow caused an early abortion personal statement service uk and their absence in the flow returning menstruation. The present case, in addition many others, which I have seen, convinces that the distinction not reliable. In early abortions the foe is often too small attract attention and the blood escaping freely may not coagulate, while the menstrual flow sometimes mingled with coagula. In the case now before you, while the flow of blood his never contained clots, have here dissertation editing services the enlarged book report writers uterus, and other symptoms that ike us morally certain that have not a return menses, but an interruption pregnancy, an abortion. Another statement recorded in the I history the cas as given the woman herself lis worthy special attention. She says tnat she was regular until seven weeks ago, but find on palpation the uterus perceptible above the pelvic brim. This in itself conclusive evidence that she mistaken in the supposed duration her pregnancy. The uterus sinks in the pelvis in the first months regnancy, and only rises above the pubes after the third month. have here an abortion treat, that occuring in the first three months gestation, or in the earlier part the fourth month. Late abortions require an entirely different plan treatment, but tune forbids our eniering at length into the discussion this In the treatment all abortions, the first question determined whether or not is prevent the threatened destruction of and secure the birth a child at full time.
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