Case histories in obstetrics : groups of cases illustrating the fundamental problems which arise in obstetrics / by Robert L. De Normandie.

Date:
1914
Catalogue details

Licence: Public Domain Mark

Credit: Case histories in obstetrics : groups of cases illustrating the fundamental problems which arise in obstetrics / by Robert L. De Normandie. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    posed of decidual cells and nowhere was there any chorionic villi. Diagnosis, decidua of pregnancy, extra-uterine (?). February 14. There has been no flowing and no pain since the cast was passed. The consultant saw the patient to-day. His questioning brought out no new points. He found the uterus to be in third degree of retroversion, and he very readily replaced it. At this time he noticed that there was a band running off from the uterus on the left side as well as from the right. He could find nothing abnormal outside the uterus. He considered that she was two months advanced in a normal pregnancy. On talking the situation over we both brought forward the possibility that she might have a bicornate uterus and that one side had miscarried while in the other pregnancy was advancing, February 16. There has been no flow now for one week. She is to get up out of bed for an hour to-day and very slowly to get about again. On February 24th she went downstairs with no untoward effect. February 28. Examination to-day shows the uterus in third degree retroversion. Cervix is close to the symphysis. Nothing felt on the sides. There is no tenderness in the pelvis, except when I attempted to replace the uterus. Uterus is still larger than normal though there is no in- crease in size since my last examination. She is going about doing more and more. Her general condition is satisfactory. March 2. Patient telephones to-night that she is having a very slight flow, that she had sent for the nurse and that she had gone to bed of her own accord. There is absolutely no pain and no clots have been passed. March 3. Absolutely comfortable. No pain. Flow which came last evening was very dark in color. Now has become bright red without any pain and without clots. She feels as if she were having a menstrual period as she is having pain in her hips which she says she usually does have at the beginning of her menstruation. To-day she stained through two napkins. 'March 4. Flow becomes distinctly less. At no time has she had any pain. March 6. Flow^ stopped yesterday. To-day she got up