Cases of laceration of the uterus : with remarks read May 2nd, 1866 / by Thomas Radford.

  • Radford, Thomas, 1793-1881.
Date:
1867
Catalogue details

Licence: Public Domain Mark

Credit: Cases of laceration of the uterus : with remarks read May 2nd, 1866 / by Thomas Radford. Source: Wellcome Collection.

    12/80 (page 6)
    were situated in the cervix, and were pervious from the peritoneal to the uterine cavity. The edges were ragged, and the surrounding texture was softened, and had an appearance as if the part had been beaten with some bhmt instrument. There was no evidence of any gangrenous change. The bladder was sound. The pelvis was of a natural size, and free from any exostotic growths or sharp-edged projections. The infant (a boy) was of an immense size, and weighed fully sixteen and a quarter pounds avoirdupois. Remarks.—During the labour it was quite impossible to account for the suspended uterine action which took place, but the post-mortem examination unravelled the mystery. It was extraordinary and astonishing that so complete an immunity from any shock should have existed in all the organic functions of the body. The extraordinary constitu- tional tranquillity which existed, and likewise the total exemption in the uterus itself from the usual symptoms which indicate that some serious mischief had happened to it, were the circumstances which misled us in our opinion and kept us unacquainted with the real nature of the case. Nothing further occurred after the completion of the labour which could lead to such a conclusion. After the delivery of the infant, the placenta was spontaneously expelled. There was no haemorrhage, and the uterus was found well con- tracted. But the extraordinary size of the child is not alone suffi- cient to account for the accident. The character of the wounds and the condition of the surrounding texture prove that there must have been previous softening in the cervix uteri. Case 3.—Oblique laceration of the muscular structure of the cervix uteri, the peritoneal coat being uninjured; fatal. On June 4th, 1824, I was requested by Mrs. Holden, midwife, to visit a poor woman residing in Water Street, London Road, who Avas represented as being in great danger. On my arrival I was much struck with the