On a peculiar form of thrombus occurring during labour / by William F. Montgomery.

Date:
[1851]
Catalogue details

Licence: Public Domain Mark

Credit: On a peculiar form of thrombus occurring during labour / by William F. Montgomery. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    Art. X.— On a peculiar Form of IVirombus occurring during Labour. By William F. Montgomery, A. M., M. D., Professor of Midwifery, &c., to the King and Queen’s Col- lege of Physicians in Ireland. There are two situations in which the formation of a thrombus or bloody tumour during natural labour is a matter of common observation, namely, on the head of the child, and at the vulva of the woman; but 1 think I have fully satisfied myself that there is a third variety of it to be met with in practice, invested with no little interest, and involving considerations of much practical importance,—where an effusion of blood takes place in the tissue of the uterus, near the os uteri, and more especially in the anterior lip of that organ. On the first variety, or that which forms on the head of the child, I do not propose at present to make any observations. With regard to the second, it does not appear to have been re- cognised, or, at least, was not described by any English writer^, until Dr. M‘Bride of this city published an account of two cases of it in 1776*’. Nor do I recollect to have met with an instance of it in my own practice for several years, until 1849, when I met with two within six weeks, the first on the 23rd August, and the second on the 4th October. The former was in a lady with her first child; her labour was short and natural, with but little effoit or straining, nor was I aware of the occurrence of the tumour until after delivery, when I found it on the edge of the left labium, but ruptured, and its contents partially discharged. The swelling subsided within a few days, and no subsequent inconvenience was ex- ® The following passage from Veslingius, in 1647, appears to describe this accident very exactly; “Alias jam bisobservassem ab effuso intra tunicas vaginae sanguine in partu diflicili, pudendi labium ingenti tumore distensum fuisse, quo aperto, sanguineque atro paulatim evacuato, muliercs cvascrc.’’ — Obs. 50. Medical Observations and Inquiries, vol. v. p. 89.