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This historic book may have numerous typos and missing text
Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1897 edition. Excerpt: ... Corresponfcence. Cleveland, October 15, 1897. Editor Gazette: While enjoying the perusal of Dr. Clark''s able article on Injuries Received by the Child During Birth, and their Prevention, in the August number of the GaZette, it struck me as peculiar that no mention was made of intra-spinal hemorrhage as a recognized cause of infantile mortality.-Some years ago I was convinced by a limited number of autopsies of cases where difficulty was experienced in extracting the after-coming head, that vertebral hemorrhage was comparatively frequent. Schaeffer (Archiv fiir Gynakologie, 1897, Band liii., Heft 2) reports some interesting studies based upon 100 autopsies upon new-born infants.-He found that, while cerebral hemorrhage was present in 20 per cent, of the cases examined, spinal hemorrhage was found once in every ten cases. If Cruveilhier was correct (as Dr. Clark quotes him) in assuming that one-third of the deaths of infants during parturition were due to cerebral hemorrhage, then, granting the accuracy of Schaeffer''s observations, one-sixth of all such fatalities are accompanied by intraspinal extravasation of blood. It is also of interest to note that in 17 of his cases of vertebral bleeding 41 per cent, followed the use of forceps or difficult extraction in breech presentation. Schaeffer also records an observation on the extreme liability of premature children to suffer birth injury. As a predisposing factor, it is equally important with some others mentioned in the paper. There are few things more mortifying than to stand in the presence of the sorrowing mother of a fine large child that you have recently delivered, and have your attention directed to its paralyzed and useless arm. True, Dr. Clark touched upon this important subject...
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