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Updated: June 6, 2025
An important deduction is that whilst the placenta is frequently and seriously affected in syphilis, it is also the special seat for the accumulation of mercury. May this not explain its therapeutic action in this disease? The marked accumulation of lead in the central nervous system of the fetus explains the frequency and serious character of saturnine encephalopathic lesions.
There is, to be sure, rarely any difficulty in the natural birth of the fetus, for its meager development prevents serious complications. The separation and extrusion of the placenta, on the contrary, are apt to be imperfect when pregnancy ends in the early months, and medical attention is necessary to determine whether the uterus has been emptied completely.
The fetus, which was almost exsanguinated by amputation, weighed 22 1/2 pounds. Bumm speaks of the birth of a premature male infant weighing 4320 gm. Artificial labor had been induced at the thirty-fifth week in the hope of delivering a living child, the three preceding infants having all been still-born on account of their large size.
The liquor amnii is secreted into the uterus, as the fetus requires it, and may probably be produced by the irritation of the fetus as an extraneous body; since a similar fluid is acquired from the peritoneum in cases of extra-uterine gestation.
So long as man is a fetus, that is, in the womb, the lungs are closed, wherefore he has no feeling nor any action; the organs of sense are closed up, the hands are bound, likewise the feet; but after birth the lungs are opened, and as they are opened man feels and acts; the lungs are opened by means of the blood sent into them from the heart.
Under this treatment he was successful in carrying the woman safely past her time for miscarriage, and had every indication for a normal birth at the time of report. Thornburn believes that the administration of a tonic like strychnin is of benefit to a fetus which, by its feeble heart-beats and movements, is thought to be unhealthy.
Hence it continues to grow, whether this fluid, in which it swims, be formed by the uterus or by any other cavity of the body, as in extra-uterine gestation; and which would seem to be produced by the stimulus of the fetus on the sides of the cavity, where it is found, as mentioned before.
In respect to the imagination of the mother, it is difficult to comprehend, how this can produce any alteration in the fetus, except by affecting the nutriment laid up for its first reception, as described in No. V. 2. of this section, or by affecting the nourishment or oxygenation with which she supplies it afterwards.
It appears that he had read with care a report by Fatti of an operation on the scrotum of a child which had increased in size as the child grew, and was found to contain the ribs, the vertebral column, the lower extremities as far as the knees, and the two orbits of a fetus; and also an account of a similar operation performed by Wendt of Breslau on a Silesian boy of seven.
At the necropsy the uterus was found adherent to the anterior wall of the abdomen and containing remnants of a putrid fetus with its numerous bones. There is an instance recorded of the death of a fetus occurring near term, its retention and subsequent discharge being through a spontaneous opening in the abdominal wall one or two months after.
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