File:The causes and treatment of abortion (1889) (14779311285).jpg

Identifier: causestreatmento00rent (find matches)
Title: The causes and treatment of abortion
Year: 1889 (1880s)
Authors: Rentoul, Robert, 1939-
Subjects: Abortion
Publisher: Edinburgh, Pentland
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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state in which the uterus measured only one inch and a half.It naturally occurs at the climacteric, or it may be congenital.It may be a consequence of rapidly succeeding labours. Dr W.Wliitehead records a case in which the uterus and ovariescompletely disappeared after laljour. Emmet gives a casewhere menstruation was suddenly arrested by a strong emotional MATERNAL CAUSES. 35 shock in a woman aged tliiily, and wiicrc it ni,\(;r i(tiini(;d, asatrophy of the uterus followed. (See Fig. 8.) Lawson Tait hascalled attention to the fact that the incomplete development ofthe sexual organs often arises from the effects of disease inchildhood, and particularly of scarlet fever and smallpox. Mayatrophy of the ovary be a cause of abortion ? Taking it forgranted that the male element, or spermatozoon, may not havesufficient power to vitalise the ovum to such an extent that itmay develop into a perfect and mature child, it might be sup-posed that an immature ovule may be similarly affected. Super-
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FiG. 8.—Atrophy of Uterus. (From Martins Atlas.) involution will be more likely to cause sterility than to produceabortion. Endometritis.—This, as elsewhere stated, must be a frequentcause of abortion. The decidua will be liable to take on asimilar process, and the ovum will have difficulty, not only ofengrafting itself, but also of recovering from the frequent recur-rences of the disease, especially in liver and heart affections. Incases of habitual death of the foetus, Schroder thought thatchronic endometritis was a frequent cause; while others havepointed out that chronic metritis, with its resulting increase offibrous tissue, prevents the uterus from expanding with thegrowth of the foetus. 36 THE CAUSES OF ABORT/ON. Syphilis of the Uterus.—Langston Parker has describeda distinct form of s)T;)hilitic metritis. Excluding tlie presenceof primary lesions on the os and cervix, the various secondaryeruptions of papules, and the erosions and ulcers are sometimesseen on this part. I

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