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The Histological Changes associated with an Early Abortion, with Special Reference to the Vessels of the Decidua. *
Author(s) -
Watson B. P.,
Wl Henry
Publication year - 1910
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1910.tb12208.x
Subject(s) - watson , medicine , tutor , decidua , psychology , pregnancy , artificial intelligence , mathematics education , computer science , fetus , biology , placenta , genetics
HENRY WADE, M.D., F.R.C.S.E., Assistant Surgeon, Royal Infirmary, Edinburgh; Lecturer on Surgery, Surgeon's Hall, Edinburgh. THE specimen which forms the subject of the present communication was obtained from a patient who has had a series of abortions following rapidly on each other. We were fortunate in obtaining it in a fairly good state of preservation, and as the pregnancy had not advanced beyond the third week, as judged by the condition of the embryo, it has the anatomical interest4 which is still attached to any human ovum of that early period, in addition to the more strictly obstetrical one, in tracing, if possible, the cause of the abortion and presumably of those which preceded and followed it. The patient is a woman of 28 years of age who has been married for eight years. 1s t Pregnancy. Went to full time and a healthy boy was born in September, 1902, and is still alive. 2nd Pregnancy. Also went to full time, a boy being born in September, 1904, who only lived for nine days. Cause of death unknown. 3rd Pregnancy. Abortion at 4; months-September, 1905. She bled continuously for six weeks prior to the abortion. 4 t h Pregnancy. Abortion at 2$ months in March, 1906. Bled for three weeks before the ovum was expelled. 5th Pregnan,cy. Abortion probably about 2; months September, 1906. Was bleeding the whole time and did not know she was pregnant . 6th Pregnancy. Abortion at 2; months-April, 1907. Also preceded by hemorrhage. 7th Pregnancy. In December, 1907, the patient had gone beyond her usual menstrual time by ten days and then began to bleed slightly. On the supposition that she was pregnant she was instructed to keep carefully anything that came away, and next day she brought to us a piece of tissue-a complete decidual cast of the uterus on one wail of which was visible, as a small pea-like elevation, the ovum. 8 t h Pregnancy. Abortion at 4th month-October, 1908. Two weeks hzmorrhage preceded the abortion. AND