1000000031

D ,

The [ame conuaélod and grown tbieker after t he

waters are evacuau:d.

EE, The figure of the uterus ""hen peodulous.

FF,

Th. figure of the

uter.us

when nre:ched bightrthao

ufu.\l, which gene!

aUy

occafioos vomitings aod

djf·

fi eul:y of breathiDg.

T he os pubis of the left fideo

J-1H,

T:,e os ioteroum.

T he vagina.

T lle lef, 0l'mpha.

L ,

T he I. b,um pudeodi of the [ame fide o

1\1",

The remaining

pon

Ion

of che bladdcr ..

N , l "he anus .

OP,

T he ldt hip aod thigh.

J -he wo'man betng unable to continue (his efFort, for

any lt ngth of 'time, from the violence of the pain

ir:

OC~

cafions, aod Ibe nrength of the mu[cles beiog thereby a

Jinle exhau Ued and impaired, rhe

cOrKraétiog

force abates

the renfion of (he os tinez bei ng ta-ken off,

be~omes

more [of!, and

contra~ts

a liitle ; fo that (he ·nervous

6·

hrcs are relaxed. Th is remiffioo of paio the patient en ..

joys for fome time, untll (he Carne increafing

(orce

ren::ws

th~

lhetching paios, irrit3tion, and fomelhlOg like 3 te·

n<:fmus

,a ""the

os uteri ; [he comprcffion of

llle \1.10mb

a·

gaín takes place, and the interoal moulh is a little more

dilated,

ei [h~r

lhe prdrure of lhe waters and mem–

bromes, or when lhe fl uid"is in fmall quantiry,

lhe

child's head foreed down by the eontraélioo of the uterus,

whi eh io thal eafe is in eomoa \Vith the body of the f"'tus.

See Plote CXI. where

FlG.· 7. Shew"the forehead of the f"'tus luroed back·

w ards tO lhe os facrum, and lhe ocoiput below lhe

pubes, by whieh means the oarrow part of the

h.ad

is to lhe narrow

pan

of the pelvis. that ¡s, be ·

t wetn lhe inferior pans of the oÍla ¡fchium.

A, T he urerus contraéled doftly lOlhe f""US afler lhe

waters are evaGuated .

BCD,

T be vertebra:

the loins, os faeruro, aDd

coccyx.

E, Th e anus.

F, The' left hipo

T he

perin::eum.

The es exteroum belliooing fo dilate.

l , T he os pybis of the left fide o

K, T ile r.maioiog portioo of the bladder.

L , T he polrerior pan of lhe os uteri.

ID this manner the labour pain9 begin, and continue to

returo periodlcal1y, growillg tlronger cnd more frcq ucllt,

until the os uleri is full y ddatt d,

a'lld

lhe mcmhl"anes -are

deprefred and broke; fo

thu

the: waters are dif(.hargcd.

the ut erus con!raé\s. and, Wilh

lhe

aOiflance

the O1uf.

d es, lhe child is forced . loog acd delovered.

AnOP.T ' ON S.

MISCARR .A G'E

that happeos before the teoth day,

\:!a¡ formcrly eaJled ac cffiux , bec.ufe the embryo and

fecundi nes are not {hen formed, and nothing bU I the

Ji·

quid cOilception,

genitura , is difcha rged.

Flom

the

teillh

dily

to lhe third momh it was keown

lhe term

e"pullioo, the embryo .od feeuodinos being ([iJl fo fmalJ,

F E

2°1

~hat

the .I'oman is io Do.great danger from violeDt Ilopd–

.ng.

Che parted with her burdeo betwixt that period aDd

the feventh mootb, fue was raid to fufFer an aboruon ;

i..

whidí

cafe: (he underwent greater danger, and

\Vas

deli–

vercd \Vilh more diffi cuhy

thf.tn

before ; bcc;¡:aufe lhe

m erus

aod

vcff.ls

being more dlileoded, a larger quaotity ofblood

was

Ion

in a Ihorter time, the fa:.tus was incrcaCcd in

buJk,

aod the oeek of the womb is not yel fully nretched : be–

lides, OlOuld the child be boro aJove, it wilrbe fo fmall

and tender that

will

DOI

(uck, and (caree receh·e

aDy

fon

of nourifhmcnt.

Wheo delivery happeos betweeo the feveolh month and

fuJl time,

l~e

woman is fai<;i to be in labour : but, in–

neAd of thefe dini oélions, if O.e lores. her burdeo

.oy

time from cooception tOthe feventh 9r cighth, or e:ven

i-n

the ninth month, we now (ay iodifcriminalely, !he has

mifcarried ..

T he commOD torro of proRoancy is limited to Dioe fola..

mooths, rec.k,oniDg from the lan difeharge of .he eatame–

nia : yct in fome, though very fcw, utnine genation ex–

cceds that periodo

Of falft

CONC EP T IO,.S

and

MOL E S.

IT was formerly fuppofed, th.. if the parts of the em–

bryo and fecundioes were nut feparated aod ditlioéll "

formed from lhe mixture of lhe maJe and female (emen.

th. )' ('orOled a

m.fs,

whieh, wheo difcharged before lhe

fuurth roootb, \Vas eaJled a falfe conceptioo; if it eoo–

tinu,ed longer in lhe ulerus, fo as

i"creafe in

magnitu.de

\Vent under the denomiriadon of a

mola,..

But lhefe

things are

now

accouoted for

io a

more

proba~le

,!nd eertaio manDer. Should the embrY9 die (fuppofe in

the fi rH or fecond montR ,) fome day' before it is difehar·

.ged, it will fometimes be eotirelyd,ffolved; fo that, whe"

the fecundi nes are delivered, thtre is nothing elfe to

[eeo. lo the r,rn mooth, Ibe embryo is fo fmaJl aod

teoder, that this diffoltrtioo will be perfor01ed io lwelve

hours: in the fccond momh,

l \VO,

three:, or fou r days

will fulliee for l bis purpofe ; aod eveo io .be lbird mon,h,

it will be diffolved in fourtoco or fi fteeg : befides Ihe

blopd fre'queotly forms .hicl< lamina:

ro~od

the ovum, lO

the furface of ",hieh they.dhore fo Ilrongly, that

i.t

ilf

very ditlieult

dininguifh what part is placenta, i\nd

what memUtranc. Evco a(ter the cmbryo and placenta are

dl fchargcd, in the fecond or third ,momh, the mou[h aDd

oeck of the womb are ofteo

clofely enolraaed, lhat th"

fibrous

pan

lhe

bload is

euiined in the fundus, ronlr.–

limes

the fifth or feve lh

d;¡y

and when it comes off,

exhibi1S lhe ílppearance o(

it"

Qvum, lbe extcmal furface.

lhe

flrong ¡Ireffure of \he utcrus. refembling a mem–

braoe ; fo tI"'t tbe whole io minakeo for a fal" coocep–

tion .

Th is fu bllanee, io

bign.fs,

commonly equals a pigeoo

or hen egg; or

il exceeds that fize , and ie Jonge r re–

l3ined, is

diílinguiO.ed

by lhe appellatioo of

mol,, :

but

lhis

r ..

di generaJly happens in women betwixt lhe age of

fony-five

and

fifry,

or later, \\<hen

thei{ m~nfes be~in

di(dppcar

fom ctimls fr oDl inlc.rnal or eXlernal accidenll

lhat J1Jay produce coolinued !loouinós. I f me ca,.m'Dia

ha..ve