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Updated: May 9, 2025
Guerrant gives a unique example of normal birth at full term in which the placenta was found in the vagina, but not a vestige of the membranes was noticed. The patient had experienced nothing unusual until within three months of expected confinement, since which time there had been a daily loss of water from the uterus. She recovered and was doing her work.
From the description, it does not seem possible that either of these were blighted twin pregnancies. Ruysch gives an account of a surgeon's wife at Amsterdam, in 1686, who was delivered of a strong child which survived, and, six hours after, of a small embryo, the funis of which was full of hydatids and the placenta as large and thick as one of three months.
What he did with him I don't know, but there was a noise like the delivery of a ton of coals; and the champion of law and order returned, with the sedate air of a man who had done his work. One of his eyes looked like an over-ripe damson, but we gave him three cheers as he made his way back to his seat. Then we went on with the dangers of Placenta Praevia.
He anesthetized the patient and delivered the child with forceps, and without perineal rupture. There was little hemorrhage, and the placenta was removed with slight difficulty.
Thomas Cowley describes the case of a negro woman who, being unable to bear the pains of labor any longer, took a sharp knife and made a deep incision in her belly deep enough to wound the buttocks of her child, and extracted the child, placenta and all. A negro horse-doctor was called, who sewed the wound up in a manner similar to the way dead bodies are closed at the present time.
In these the eggs develop in a sort of uterus; but there is no placenta, in the sense of an organic connection between the embryo and the uterus of the mother. The young are at birth exceedingly small and feeble. The adult giant Kangaroo weighs over one hundred pounds; the young are at birth not as large as your thumb.
Something was coming up out of this horrible cavity, which was trickling with blood from the cut. It was queer a little foot, a leg, a body, a head. "As God is my judge," said Eugene to himself, his eyes brimming again. "The placenta, doctor. Look after the peritoneum, Miss Wood. It's alive, all right. How is her pulse, Miss De Sale?" "A little weak, doctor." "Use less ether.
The abdominal wound was five inches long, and extended from one inch above the umbilicus straight downward. There was little or no bleeding and the uterus was firmly contracted. She did not see a physician for three hours. The child was found dead and, with the placenta, was lying by her side.
Rosset reports the case of a woman of twenty-seven, who menstruated last in November, 1878, and on August 5, 1879, was delivered of a well-developed dead female child weighing seven pounds. The uterine contractions were feeble, and the attached placenta was removed only with difficulty; there was considerable hemorrhage.
But generally the after- birth was buried with religious ceremony, and was occasionally unearthed later to discover whether the woman would have other children; the prophecy was made according to the manner of disintegration or some other equally absurd circumstance. The after-birth consists of a round, fleshy cake, the placenta, to which two very essential structures are attached.
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