The London practice of midwifery : including the most important diseases of women and children. Chiefly designed for the use of students and early practitioners / by Geo. Jewel, M.D.

  • Jewel, George, active approximately 1833.
Date:
1833
Catalogue details

Licence: Public Domain Mark

Credit: The London practice of midwifery : including the most important diseases of women and children. Chiefly designed for the use of students and early practitioners / by Geo. Jewel, M.D. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    gular last ? Or, if it is a young girl, we ask her, Whether she has been regular yet? There have been a great variety of opinions as to where the menstrual fluid comes from ; it can only be from either the vagina, or uterus. Arguments have been adduced to prove its coming from each of these parts. Those who will have it come from the vagina, advance, that the vessels of the vagina are larger and more numerous than those of the other parts ; and that women menstruate after the uterus is cut out, as a woman who has an os ex- ternum only : these, then, are so many arguments in favour of its coming from the vagina. The best way is to come to matter of fact, and we have two diseases in which we possess demonstration: first, where the uterus is inverted, and hangs down from the os externum; or where it is prolapsed, the os tincce being protruded beyond the os externum. Now although we may have never seen the secretion form- ing on the surface of an inverted uterus, yet we may be satisfied of the fact, upon the authority of Mor- gagni, William Hunter, the late Dr. Clarke, and others, who have frequently, in prolapsed uterus, seen the menses flowing out of the os uteri, while the vagina was inverted and dry. There have been disputes about the vessels which separate the fluid in question ; some will have them to be arteries, whilst others are equally sure of their being veins. Those who argue for veins, observe, that they are more liable to congestion than arteries, and are more apt to be relaxed. From some micro- scopical observations, we are told, not only that it is by the veins that the menstrual fluid is separated, but