Review Mémoire sur l'Auscultation-appliquée a l'étude de la Grossesse ou Recherches sur deux nouveaux signes propres a faire reconnaitre plusieurs circonstances de l, état de gestation; luù l' Academie royale de medecine, dans sa séance générale du 26 Decembre 1821 . Par M. J. — et Lejumeau de Kergaradec, Docteur en médecine de la Faculté de Paris, &c. &c. &c. Paris, 1822
The New England Journal of Medicine and Surgery and the Collateral Branches of Science
Recherches sur deux nouveaux signes propres a faire reconnaitre plusieurs circonstances de l,\l =e' \tat de gestation ; lu\l=u'\ l' Academie royale de medecine, dans sa s\l=e'\ance g\ l =e' \ n\ l =e' \ ral e du 26 Decembre 1821. Par M. J.\p=m-\ et Lejumeau de Kergaradec, Docteur en m\l=e'\decine de la Facult\l=e'\ de Paris, &c. &c. &c. Paris, 1822. TN a former number of this Journal a short notice was given -*of the application of die stethoscope to the study of pregnancy. Since then we have
... ceived the work itself, which contains the facts which were referred to in our note on the subject. It is quite a curious memoir, and though it should happen that farther experiments with the stethoscope in pregnancy, should not confirm all the views entertained by M. Kergaradec, still what has been established deserves to be noticed. M. K. was Jed to the employment of the stethoscope from his convictions of its utility in the study of the diagnosis of diseases of the chest. He had occasion to visit a patient some months advanced in pregnancy, and he resolved to learn by the aid of the. stethoscope, if the fluctuation (flot) produced by the movements of the foetus in the liquor amnii could be heard by the instrument. This sound he remarks can be perceived only when gas is extricated in the fluid, which is an exceedingly rare occurrence, and in this instance no sound was perceived. Other phenomena however were noticed. These, with others noticed in other cases, with remarks and inferences, are the subject matter of the pamphlet under review. Case. I.-Madame L. had arrived at the close of pregnancy. One day, says M. R. while engaged in observing the movements of the foetus, I was suddenly struck with a sound, which before had never attracted my attention : it seemed to me like the ticking of a watch placed very near me. I removed my ear from the parietes of the abdomen, and immediately the sound entirely peased. This souiid was thought to be owing to some illusion of The New England Journal of Medicine, Surgery and Collateral Branches of Science as published by The New England Journal of Medicine. Downloaded from nejm.org at COLUMBIA UNIV HEALTH SCIENCES LIB on September 15, 2016. For personal use only. No other uses without permission. From the NEJM Archive.