Views Ancient and Modern on Placenta Praevia *An abridged version of a paper given before the Bath, Bristol and Somerset Branch, B.M.A., on 6th February, 1952, at Royal United Hospital, Bath.

نویسنده

  • John Stallworthy
چکیده

Something of the part played by the placenta in the causation of antepartum hemorrhage was known as far back as the time of Hippocrates. The early ^thers of medicine believed that if the placenta was found over the internal os, had fallen there from its normal position. In the seventeenth century Ambrose Pare taught and practised version and Creech delivery as the treatment for antepartum haemorrhage, although at that time the cause of the bleeding was not fully understood. Pare's own daughter developed bleeding early in labour, but was so successfully treated in accordance ^th. her father's teaching by one of his pupils, Guillemeaux, that both mother aild baby survived. It was not until 1775 that the two chief causes of antepartum haemorrhage ^Vere recognized. They were described by Rigby who analysed twenty-eight ?ases he had personally treated. In nine of these he had found the placenta Cached to what he described as the zone of dilatation of the uterus. This is Xvhat we would now describe as the lower segment. He pointed out that if a Placenta was attached to this zone, then it was inevitable that bleeding would ?ccur during the dilatation of this zone in labour. He therefore called bleeding ^Ue to this cause " unavoidable haemorrhage This was the. first accurate

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عنوان ژورنال:

دوره 69  شماره 

صفحات  -

تاریخ انتشار 1952