Hyperemesis gravidarum with reference to its etiology and treatment : dissertation presented for the M.D. degree, the Victoria University / by John M.H. Martin.

  • Martin, John Michael Harding, 1847-1906.
Date:
[1892]
Catalogue details

Licence: Public Domain Mark

Credit: Hyperemesis gravidarum with reference to its etiology and treatment : dissertation presented for the M.D. degree, the Victoria University / by John M.H. Martin. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    when the stomach is empty, is an undoubted fact, and patients have complained that when they set foot on the ground on first getting out of bed the nausea and retching immediately begin. But sickness in the morning, taken as a single symptom, is apt to be misleading to a casual or careless observer. Although most common in the morning, the sickness accom- panying pregnancy may come on at any hour or part of the day, and either before or after meals. From my own inquiries, in the majority of cases the first indication of nausea and sickness occurs at periods varying from a week to ten days after the first expected menstrual flow has been missed after conception has taken place, and generally lasts, with different degrees of intensity, during the first twelve or sixteen weeks of gestation. In some cases it may come on shortly after conception and last the whole term of pregnancy, or even be confined to the last three months; but the first and last months are usually free from either nausea or sickness. (Spiegelberg.) The assertion of some authors that vomiting is more frequent and persistent in primiparse than in those who have borne children does not accord with my experience ; I can only think that in first preg- nancies more notice is taken of the fact, whilst in later ones it is looked upon more as a matter of course. I have found, however, that those women who suffer from varicose veins are rarely or never troubled.