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Updated: June 16, 2025
It would be tedious to the reader, and useless for our present purpose, to detail the history and describe the protean shapes of her sufferings. With the exception of small breasts, the reproductive system was well developed. Repeated and careful examinations failed to detect any derangement of the uterine mechanism. Her symptoms all pointed to the nervous system as the fons et origo mali.
When the drug is thus administered, the uterine contractions are scarcely, if at all, altered, and the assistance which the patient is willing to give herself generally becomes more powerful. Should the anesthetic have the opposite effect, it must be withheld; but that is seldom necessary. As the head advances the anesthesia is deepened, and the mother sleeps soundly while the child is being born.
This engorgement may lead to undue local nutrition, and diffuse growth and proliferation of the connective tissue may take place. Hence the uterine walls become dense and thickened and the nerves compressed. Of course, pain and tenderness and a sense of bearing down will be the result. Flexions and versions may be consequent upon the engorgement.
Physicians were applied to for aid: drugs were administered; travelling, with consequent change of air and scene, was undertaken; and all with little apparent avail. After this experience, she was brought to Boston for advice, when the writer first saw her, and learned all these details. She presented no evidence of local uterine congestion, inflammation, ulceration, or displacement.
Therefore, I think that the placenta should no longer be called a uterine liver, but rather a uterine lung. Although Mayow's attempted analysis of respiration of the chick embryo in ovo is less than successful, his views on fetal respiration were soon accepted by many, and his tract stands as a great contribution to physiological embryology.
Some hours before death pus was taken from an abscess on the arm, and blood from a puncture in a finger. Both were sowed. The flask containing the blood was sterile. The autopsy was at ten o'clock on the morning of the sixteenth. Blood from a vein of the arm, pus from the uterine walls and that from a collection in the synovial sac of the knee were all placed in culture media.
But it is not true that she can do all this, and retain uninjured health and a future secure from neuralgia, uterine disease, hysteria, and other derangements of the nervous system, if she follows the same method that boys are trained in. Boys must study and work in a boy's way, and girls in a girl's way.
The constant repetition of such hæmorrhage may lead to uterine congestions, or even to amenorrhea, i.e., entire absence of menstruation. But it originates in functional disturbance, in exhaustion of the nervous system by intellectual exertion.
In the lowest vertebrates and in the homologous tissues of the higher invertebrates, the fractions of the thyroid are intimately connected with the ducts of the sexual organs. They are indeed accessory sexual organs, uterine glands, satellites of the sex process.
At first the uterine contractions are far apart; they last but a moment and cause only twinges of pain. Gradually, the preliminary contractions give place to others of more definite character, which appear at intervals of five to ten minutes.
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