Post-Mature Pregnancy: A Case Report
نویسنده
چکیده
Findings on admission.?Patient well built and tall; ?n an exhausted condition; temperature 104.6?F., respiration 29 per minute; pulse 120 per minute; uterus assymetrical, wider from side to side; no uterine contraction; delay apparently due to secondary inertia; fcetus impacted and dead; oblique lie, dorso-posterior position with the head in left iliac fossa and breach on the right side; hand presenting, left hand lying in -the vagina; bladder distended. History of present pregnancy and labour.? -The date of first day of last menstrual period was 4th July, 1941. The patient and her husband were emphatic about this. There was nothing abnormal during the course the present pregnancy except its length. Towards the end she felt unusual heaviness, discomfort and breathlessness. As the labour did not start after eleven lunar months, she and her relatives became alarmed. They, sought the help of village quacks for the induction of labour, and with their medicines she had a number of watery motions on the 11th and 12th May, 1942, and labour pains started on the 12th afternoon. As labour was protracted, a country accoucher tried manual removal of the child on 14th May, but failed. The patient was brought to the hospital the same day. Previous pregnancies.?All normal. All but the second child are living. The second child died of some unknown fever at the age of two. There was no history of abnormal duration of any pregnancy. Before this* pregnancy the patient was regular in her menstruation, having a 26 to 30-day cycle. She had no pendulous abdomen and no uterine complaint. Management and treatment.?The bladder was relieved by catheterization. The urine on examination was found normal. Before operation she was given glucose 25 per cent 25 c.cm. intravenously, subcutaneous saline *
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عنوان ژورنال:
دوره 79 شماره
صفحات -
تاریخ انتشار 1944