On severe vomiting during pregnancy : a collection and analysis of cases with remarks on treatment / by Graily Hewitt.

  • Hewitt, Graily, 1828-1893.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: On severe vomiting during pregnancy : a collection and analysis of cases with remarks on treatment / by Graily Hewitt. Source: Wellcome Collection.

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    mentioned in Table A. as they come under a rather different category, and there was no post-mortem examination:— Case 26. Barnes, Obstetric Medicine and Surgery. By R. Barnes and Fancourt Barnes. London, 1884, p. 364. Barnes gives the following cases of uncontrollable vomit- ing brought about by emotion:—One, a lady who, pregnant for the fifth time, underwent at one month of pregnancy severe family trials, came home exhausted, was attacked with unremitting vomiting, and died in a few days. He has seen other cases induced by severe mental shock also ending fatally, spite of induction of abortion. Case 27. Barnes, he. cit. In another case incoercible vomiting set in at between two and three months: her husband committed murder and suicide, and she further found herself syphilised. She im- plored that abortion might be induced j this was not done and the patient died in a week exhausted. Further examples of the influence of what may be termed a general cause for the vomiting mentioned by Dr. Barnes are intercurrent disease, whooping-cough, and alcoholism, which he has known to produce severe vomiting in pregnancy. Dr. Barnes also mentions albuminuria, first noted as observed in such cases by Sir J. Simpson. As regards albuminuria, it seems probable, however, that it is rather an effect than a cause of the disease, though Bright's disease in a pregnant woman might conceivably produce or intensify vomiting to a severe extent. Horwitz of St. Petersburg, whose essay on the uncontrollable vomiting of pregnancy I shall allude to presently considers that albuminuria may be the result of the starvation which is present in the severe cases He