File:American gynaecological and obstetrical journal. (1897) (14779266551).jpg

Identifier: americangynaecol1118unse (find matches)
Title: American gynaecological and obstetrical journal.
Year: 1897 (1890s)
Authors:
Subjects: Obstetrics Gynecology
Publisher: New York : D. Appleton & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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nStreet Maternity Hospital, August 31, 1893; gravida; eight months;fcetal heart sounds absent, and, from her account, foetus had beeninactive several days. About the vulva and within the vagina, therewas an abundant growth of warts, condylomatous in character, whichhad sprung up since the time she was first seen; no other evidenceof syphilis was visible. Labor normal, but foetus was found macer-ated, and it had evidently been dead in utero several days. Theplacenta presented the condition commonly spoken of as fatty de-generation, and there was scattered through it deposits of chalkymaterial. In the vessels of the cord, and, to some extent, in the Read before the Womans Hospital Society. 148 /. Dim gal Bisscll, M.D. vessels of the placenta itself, there were deposits of material so thickas to almost occlude these vessels, and make the cord, for the dis-tance of ahout three inches from the placenta, hard and inflexible.The patient was a prostitute, and though a clear syphilitic history
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Case I. Fig. 1. From Photograph of Syphilis of the UmbilicalCord, showing thickening of all Coats of the Vessel and Throm-bi in the Lumen. (Teiss, 35 mm., Ocular Projection, 12.) could not be gotten from her, the condylomatous condition of thevagina and the evidence in the placenta and cord, make it probablytrue that she was tainted with the disease. Case II. Mrs. B., aged twenty-five, gave a syphilitic history, the diseasehaving been contracted from her husband. She had previously Effects of Hereditary Syphilis Upon the Placenta. 149 given birth to three living children, two of whom died in infancyfrom weakness. She had had one miscarriage; was confined atthe Old Marion Street Maternity Hospital December 16, 1893; labornormal, also placenta and cord normal. The child weighedpounds, and was apparently in perfect health. Two hours afterbirth it was placed to mothers breast and sucked vigorously.

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