Laceration of the Vagina and Uterus

J. C. W. Lever
1850 BMJ (Clinical Research Edition)  
CASE. S. B., atat. 28, is a married woman, and has been so for six years. She has had three children; she was confined of the first, ten months after marriage; it was still born; the labour was lingering, but she recovered well. The second child was born at the end of about another year, and lived fourteen months; and the third, a boy, after about the same period. He is still living, and is a healthy child, about two years and eight months old. She has not since given birth to any child up to
more » ... e present time, and has never had any abortion. Her last confinement was more lingering tn the previous one, where the child was a girl. She is a woman of rather short stature, fair, and of tolerably florid complexion. Her husband is a labourer, and she follows the occupation of a sempstress; but for the last few months she has had little to do, and in consequence of her husband being frequently out of employment, she has not lived well, eating chiefly fish in the way of animal food. She has never had any serious illness, but is now pregnant with her fourth child; and, for the last ten months, has complained of a severe draggi pain in the abdomen and back, to which, however, she has not attached the slightest importance, and, when requested to have advice, she has been averse to it. At a quarter before three, Am., on the 16th, I arrived at her house, having been summoned to attend her in labour, and seeing her then for the first time. I found her laid on the bed, with severe expulsive labour-pains. On inquiry, I understood that the membranes had rap-
doi:10.1136/bmj.s2-2.14.131 fatcat:zbfgt7qdejgxzivyghimhjcxam