The bearings of chronic disease of the heart upon pregnancy, parturition, and childbed : with papers on puerperal pluero-pneumonia and eclampsia / by Angus MacDonald.

  • Macdonald Angus, 1836-1886.
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: The bearings of chronic disease of the heart upon pregnancy, parturition, and childbed : with papers on puerperal pluero-pneumonia and eclampsia / by Angus MacDonald. 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.

    191/308 (page 179)
    CHAPTER V. GENERAL CONCLUSIONS. I NOW proceed, in accordance with the original scheme of the work, to the final part of it, viz.:— To make some general observations, and endeavour to draw some practical inferences, in regard to the prognosis and treatment of cases of pregnancy, parturition, and child- bed, complicated with chronic disease of the heart. I have endeavoured faithfully to present before the pro- fession this important subject in as complete a form as possible, in order to be able to derive from its consideration accurate conclusions, with the aim of replacing, if possible, by well - founded principles and opinions, the uncertain views that at present regulate the action of the obstetrical practitioner in dealing with cases of the kind. Now, from a careful review of the whole history of the subject, I am satisfied that the balance of impartial evidence lies in favour of those who predicate a decided increase in the size of the left ventricle of the heart as a normal condi- tion during pregnancy. I am at the same time inclined to believe that the hypertrophy will, on more extended inquiry, not be found exclusively restricted to the left ventricle, although it is essentially so, but will be found partially extended to the other chambers of the heart, particularly to the right ventricle. But the amount of increase of muscular tissue in the walls of any of the chambers other than the