1845 The Lancet  
377 sngtiinous discharge. Her bowels became disordered about twenty-four hours before I saw her, but the recurrent pains had existed not more than six or eight hours. She observed, that in all her previous miscarriages she had been affected first with diarrhaea. An enema, with laudanum and starch, was immediately administered, and she was advised to remain in bed. The diarrhoea was checked, and the recurrent pains and the discharge ceased; and although the diarrhoea, especially after fatigue
more » ... m walking, two or three times, returned during her pregnancy, she Completed the period of it, and was confined with a living child. In three subsequent pregnancies she was several times affected with diarrhoea, which was always checked by the same means, and she is now the mother of a large family. This case is selected from several others of the same kind, of which I have notes, taken at the time they occurred. CASE 7.-Many years since, a respectable farmer's wife in Buckinghamshire, when advanced to near the sixth month of her pregnancy, was attacked with symptoms threatening abortion. From the long continuance of the haemorrhage, although not very copious, in spite of the usual means which had been resorted to for arresting it, she was thought by the late Mr. Gray, the gentleman who was attending her, and her friends, to be in considerable danger, and the late Dr. Kerr, of Northampton, was i requested to visit her. He prescribed emetic doses of ipecacuanha, (twenty-five grains,) and the haemorrhage soon ceased after the vomiting began. I copy the case from my notes taken I at the time. CASE 8.-A young unmarried woman, twenty-two years of i age, pregnant the second time, aborted about the sixth month of gestation. The abortion was attended by much flooding, which ' I was followed by an attack of purpura, and it occasioned such extreme prostration, that all attempts to rally her were fruitless, and she died five days after her miscarriage. Mr. Barlow observes, no notes having been taken of the symptoms, I am unable to describe them with accuracy; but it seems important to mention that there was severe pam in the abdomen, I and an excessive vomiting which could not be allayed. The patient was attended by Dr. Miller, and Mr. Gibson. of I Chelmstord, and my father. I examined the body in their presence. The skin was plentifully marked with spots of purpura of various sizes, that were especially abundant on the face; the mucous membrane of the stomach and intestines was thickly z , covered by them, and the peritoneum and pleura presented a few.. The heart, lungs, and liver, looked much paler than usual-
doi:10.1016/s0140-6736(02)75654-7 fatcat:7ekkhkhdyrfjlijdk5rocxr3km