ISBN: 9781458986085

Kentucky State Medical Society,Paperback, English-language edition,Pub by General Books LLC Books Books Transactions-of-the-Kentucky-State-Medical-Society~~Kentucky-State-Medical-Society … Mehr…

Kentucky State Medical Society,Paperback, English-language edition,Pub by General Books LLC Books Books Transactions-of-the-Kentucky-State-Medical-Society~~Kentucky-State-Medical-Society General Books LLC Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: A CASE OF PLACENTA PREVIA. By Arch Dixon, M. D. Henderson, Ky. On the 23d day of February, 1895,1 was called hurriedly at 4 A. M. to see Mrs. D., who informed me that she had had a profuse uterine hemorrhage and was still bleeding. She was pale and blanched, respiration sighing, and pulse 120. She stated that she was about six months gone in pregnancy, and greatly feared a miscarriage. On examination the os was found slightly dilated and soft and patulous on the left side, thick and boggy on the right, the dilatation was sufficient to admit the index finger. The membranes were intact. On the right the lower border of the placenta, extending partially over the mouth, could be easily distinguished. There was still some bleeding. A tampon was placed at once and stimulants given?strychnia, atropia?hypodermically. Counting from the last period Mrs. D. was in the twenty- ninth week of her pregnancy. During the first three months, while in Owensboro, she had had a slight hemorrhage which readily yielded to treatment. Six weeks later there was a recurrence of the bleeding, which again abated under rest in bed and the ordinary treatment for threatened miscarriage. No vaginal examination was made. Recovery was prompt, and she seemed in a fair way to go to her full term. She was feeling well and looking well when she retired on the night of the 22d of February. Her slumber was not disturbed until she was suddenly roused by a gush of blood at four o'clock on the morning of the 23d. I shall not go into any discussion as regards the treatment of placenta previa or the advisability of temporizing in such cases. I believe that as soon as the diagnosis is establishedthe induction of premature labor becomes obligatory. 1 therefore made immediate preparation for delivery. Slight p...<