Practical remarks on lacerations of the uterus and vagina : with cases / By Thomas M'Keever.

  • M'Keever, Thomas.
Date:
1824
Catalogue details

Licence: Public Domain Mark

Credit: Practical remarks on lacerations of the uterus and vagina : with cases / By Thomas M'Keever. Source: Wellcome Collection.

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    description, still there are some reasons for sup- posing', that they occur much more frequently among those of the inferior class. Thus, of 8,600 patients delivered in the Lying-in-Hospital of this city, during the years 1819-20, and 21, there occurred twenty cases of ruptured Uteri being in the proportion of one to four hundred and thirty.^ Now it is well known that many prac¬ titioners, extensively engaged in midwifery, have passed through a long professional life without having met more than two or three instances, at furthest, of this accident; a circumstance which could hardly have happened, were all classes of females equally predisposed to its occurrence. Dr. Willan, in a note prefixed to his interesting Re¬ port on the Diseases of London, states, that a physi¬ cian of eminence, in attending 2,982 ladies from the year 1776 to 1800, inclusive, lost thirty patients, one of whom only, died in consequence of a lace¬ ration of the Uterus; and from conversations which I have held on the subject with practitioners of many years’ standing in this city, I am inclined to think that this may be looked on as the fair average proportion among females in the better ranks. * Several of these patients had the Uterus ruptured before coming into the hospital, while others were admitted after having suffered severely from previous mismanagement. f Mr. Runts makes the proportion one in 940 cases.