A treatise on the epidemic puerperal fever, as it prevailed in Edinburgh in 1821-22. To which is added, as appendix, containing the essay of the late Dr. Gordon on the puerperal fever of Aberdeen in 1789-90-91-92 / By William Campbell.

  • Campbell, William, 1788-1848.
Date:
1822
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the epidemic puerperal fever, as it prevailed in Edinburgh in 1821-22. To which is added, as appendix, containing the essay of the late Dr. Gordon on the puerperal fever of Aberdeen in 1789-90-91-92 / By William Campbell. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

    75/408 (page 55)
    56 CASE I. Mrs. Nielson, a,female of spare habit, but healthy- constitution, living at No. 10, Greenside-row, a part of the new town wliich is better ventilated than most other resorts of the poor, fell in labour of her second child on Sunday, 26tli March, at five o'clock in the afternoon, when I was requested to visit her. At this time, the uterine aperture fidly equalled the diameter of a cro^vn- piece, and felt quite soft and dilatable. The presentation Avas natural, the vertex presenting at the right aceta- bulum, and the face towards the left sacro-iliac-synchon- > drosis, but uterine action was so trivial that I deemed constant attendance uimecessary. On this account I took my leave, desiring that I might be called Avhen the pains by their frequency and power should indicate that the patient required more attention. I was accordingly sent for at eleven o'clock M., when I found uterine action so powerful, and the first stage of labour so far advanced, that I considered it my duty to remain by the patient until she should be relieved, particularly as the OS uteri was so dilatable, and the passages throughout so well prepared. Labour gradually advanced fi-om this period, without any remarkable occurrence until four next morning, when the membranes burst, and a hmited quantity of liquor amnii was discharged. The head at this time had made very little progress tln-ough the brim of the pelvis, although the labour-pains continued strong from the time I remained by the patient. Tliis little advance of the head was owing to its size, which, after the rupture of the membranes, was discovered to exceed the ordinary dimensions, while the pelvis did not seem to me to be more than usually capacious. The head