Account of a Caesarean operation through the vagina, successfully performed / by M. Grimme ; communicated by Dr. von Embden.

  • Embden, Dr von.
Date:
[1817]
Catalogue details

Licence: Public Domain Mark

Credit: Account of a Caesarean operation through the vagina, successfully performed / by M. Grimme ; communicated by Dr. von Embden. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    mained without effect; in consequence of which, Mr. G. ordered the patient to take a tea-spoonful of lenitive elec- tuary, with mucilaginous drink acidulated with a little lemon- juice, keeping herself as quiet as possible. On the sixth day, the electuary had procured an evacua- tion during the night; the faices were passed with much pain, causing a great deal of florid blood to flow from the vagina, however this ceased on her lying quiet. She com- plained of a kind of burning sensation she had felt in the ab- domen during the night, and which still continued; a little blood resembling the lochia: re-appeared; the head-ach had gone off on the bowels being moved. She had more appe- tite, showed particular inclination for beer ; and she was per- mitted to take a glass of white beer. On the seventh day, she was in general tolerably well; the pulse being soft and slow, and the burning sensation in the abdomen having ceased. But now the infant, which hitherto had been quite well, was suddenly taken ill, with periodical symptoms of suffocation, rattling in the throat for a whole hour together, and sudden changes of com- plexion. An emetic in the form of a linctus was prescribed, together with a clyster and an aromatic bath in the evening. On the night of the eighth day, (on the 30th of October,) the child appeared quite easy, sucked, and was apparently quite well ; but, in the afternoon, by four o’clock, it was suddenly taken with spasms, which, after intermitting one hour, re-appeared, and the child thus died with general ca- taleptic symptoms. It was a boy, to all appearance of a healthy and firm constitution, weighing between seven and eight pounds. Dissection was not permitted. The infant’s death much agitated the mother, for whom, though continuing tolerably well till the evening of the 31st, Mr. G. apprehended some ill consequences ; and, indeed, on the first of November, vestiges of an increased action of the vessels of the wounds of the womb and the vagina, made their appearance, an increased discharge of a purulent serum taking place ; the patient complaining of pressure in the abdomen and the bottom of the pelvis, which sensation con- tinued, but without increasing till the 2d of November. Her pulse was quick and full, and a certain degree of inflamma- tion was apparent. An antiphlogistic regimen, with an injection of a decoc- tion of herba hyosciami, repeated three or four times, pro- cured relief; so that, on the 3th of November, and the fol- lowing days, she felt as usual, her pulse being again soft and composed. She now complained only of being languid, and no. 219. 3 b sometimes