An essay on prolapse of the funis : with a new method of treatment / by T. Gaillard Thomas.

  • Thomas, T. Gaillard (Theodore Gaillard), 1832-1903.
Date:
[1858?]
Catalogue details

Licence: Public Domain Mark

Credit: An essay on prolapse of the funis : with a new method of treatment / by T. Gaillard Thomas. Source: Wellcome Collection.

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    view, and advocated that which is at present accepted—that it is the pressure of the descending part of the foetus upon the canal through which all its blood passes to the placenta, its temporary lung, which interferes with its perviousness, and destroys life by asphyxia. Hov/ destructive to foetal life is this pressure, we may learn by again glancing at the tables of Dn ChurchilL The mortality is truly appalling. In 355 cases of prolapse, collected by Dr. Churchill, 220 children, considerablj^ over one half, were lost, and many of these after the mother’s safety had been jeopardized by an operation instituted for the benefit of her offspring. In 107 of these cases version was per¬ formed, and in 37 the forceps were applied. But that we may have the matter more fully before us, I transcribe the table from which I quote: Authors. Cases of Prolapse. Children Lost. Delivered by Version. Delivered by Forceps. Mr. GifFard,. 21 11 15 5 Dr. SmelHe,. 6 2 6 Mr. Perfect, ... 4 3 4 — Dr. Jos. Clarke,. 66 49 — ■ - Dr. Merriman,. 8 4 - Dr. Eamsbotham, . .., 1 1 1 — Dr. Collins,. Dr. Cusack,. 91 10 — — 5 6 —« Mr. Gregory,. 1 4 — Dr. Beatty,. 6 4 — — Mr. Lever,.. 6 2 — Dr. Churchill,. 1 6 — Mme. Boivin,. Mme. Lachapelle, .... 88 9 25 13 26 1 10 18 Dr. Voigtel,. 1 — 1 — Dr. Jansen,... 86 38 46 6 In the work of Drs. McClintoek and Hardy on obstetrics, 37 cases of prolapse of the funis are reported, in which 25 children were lost. As regards the comparative mortality of the accident, I know of nothing which will convey a better idea than a survey of the causes of foetal death in the eastern district of the Royal MaternityCharity, London, between the years 1828 and 1850, as given by Dr. F. H. Ramsbotham.: