The pathology of intra-uterine death being the Lumleian lectures delivered at the Royal College of Physicians of London, March 1887 / by William O. Priestley.

  • Priestley, W. O. (William Overend), 1831-1900.
Date:
1887
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Licence: Public Domain Mark

Credit: The pathology of intra-uterine death being the Lumleian lectures delivered at the Royal College of Physicians of London, March 1887 / by William O. Priestley. Source: Wellcome Collection.

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

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    liquor amnii may be affected by the state of the mother is evident from many facts. Dr. Duncan,* in a paper on Puerperal Diabetes, states that hydramnios is frequent in association with this con- dition, and sugar has been found in the liquor amnii. Two or three facts have been distinctly made out in relation to its pathology. 1. Scarpat noticed a coincidence between this form of dropsy and the presence of twins. This has been fully confirmed by the observations of Winckel,^ McClintock,§ and others. 2. In pregnancies complicated with hydramnios the child often presents some vice of conformation. Monsters are, in fact, common with this affection. 3. The children bom with a superabundance of liquor amnii often present evidences of syphilis, and this whether they are born dead or alive. 4. Hydramnios is comparatively rare hi first pregnancies as compared with others. 5. It is more frequent with female children than males. Of thirty-three cases collected by McClintock, only eight were males. The impression derived from a careful study of all the circumstances is, that hydramnios is not a pro- duct of inflammation of the amnion, as some have supposed, but that it arises sometimes from constitu- tional conditions affecting the mother, sometimes from local causes. The idea of local origin, in some cases at least, is strengthened by the fact that it may occur with twins, one only being affected ; and Char- pentier mentions a case where the abdomen increased * Obstet. Trans., 1882. f Opuscula cli Chir., 1825-32. % Path, der Geburt. § « Diseases of Women.