A Case of Puerperal Eclampsia
نویسنده
چکیده
Sir,?The following case was that of a young Hindu woman, aged 17 years, and a priraiparaEnquiries elicited the facts that she, being full term, experienced coliclsy pains for 4 or 5 days previous to my being called in. The evening before my Sub-Assistant Surgeon , Kannni Kumar Datta, had seen the case and found her in a semiconscious state, all other conditions were normal, and a few hours later she regained consciousness and stated she felt quite well. The following morning, 13th June 1911, at 8 o'clock I was called in and on examination could detect nothing except that the woman complained of a headache and appeared to be a bit dull. Fcetal heart sounds were audible and position of foetus normal. The woman's pulse, respiration and temperature were normal, and she was not in labour. A purga tive was administered. An hour after I was called again to see the case, and'on my arrival found the woman in a comatose condition, pulse small and 130 per minute ; the Sub-Assistant Surgeon informed me that the woman had convulsions of an epileptic character just before my arrival. She had never had fits of any nature before this, and had been in excellent health all the time. It was my intention to induce labour, but before doing so I ordered a large soap and water enema to be given to empty the lower bowel, the result of the enema being good ; severe uterine contractions commenced immediately after, and the child was born within an hour and the placenta followed 15 minutes after the birth of the child, which was quite healthy. Labour was perfectly normal and no artificial interference was necessary. A subcutaneous injection of morphia g grain was then given. The woman's condition gradually improved; the pulse reduced to 100 a few hours afterwards, but she lay in a comatose condition till 3-45 P.M. the same day, when she regained partial consciousness. At 4 P.M. the following was given by the mouth
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عنوان ژورنال:
دوره 46 شماره
صفحات -
تاریخ انتشار 2016