Transactions of the Royal Academy of Medicine in Ireland. Vol. I-Xxxvi And Xxxvii. ..
Transactions of the Royal Academy of Medicine in Ireland. Vol. I-Xxxvi And Xxxvii. ..
Royal Academy of Medicine in Ireland
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March 15, 1905. — K. B., aged twenty, primipara ; five and a half months pregnant ; sufiering from eclampsia ; seven seizures. Patient had left kidney removed three years previously for (?) abscess. On admission great oedema present; urine scanty, with much albumen. Morphine and the usual measures success- fully adopted. The foetal heart not being heard after careful ituscultation, and as the fits had ceased, it was decided to empty the uterus by induction of labour. March 16. — Os dilated by H...egar's dilators up to size 16, and three No. 10 bougies passed ; vagina Ughtly plugged with iodo- Digitized by CjOOQ IC 308 Sequel to an Attack of Eclampsia. form gauze. Twentj-fotir horns later, as no pains ensaed^ the No. 10 bougies were removed, and after further dilatation of the OS by Hegar^s dilators three No. 12 bougies were introduced. This time the vagina was tightlv plugged with gauze around the protruding ends of the bougies. About six hours later some irregular pains set in, and on the evening of the 18th — that is forty-eight hours after the commencement of induction — on removing the plug and bougies the os uteri was found to be about the size of a sixpence, and the cervix to be almost fully taken up.
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