Kings Eclectic Obstetrics

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Occasionally it takes place without any discoverable cause. A dis- charge of blood may also take place from rupture of one or more vessels of the umbilical cord, but this is of rare occurrence.
More commonly, accidental hemorrhage is not observed until after the commencement of labor ; but it frequently happens that there may be one or more discharges of blood for some weeks previously. These early discharges may determine the character of the difficulty, and its disconnection with placenta prs
...evia, by observing that, in almost all instances, they have been preceded by some sudden or unusual shock, while in placental presentation, the flooding occurs suddenly without any previous excitement or injury, and frequently happens during sleep.
The hemorrhage may immediately manifest itself upon the presence of the exciting cause, or it may not appear for a greater or less time subsequently, being preceded by uneasy sensations, and an aching and dull pain in the back and abdomen. Its quantity may vary from a few ounces to an amount sufficient to speedily destroy life, being generally proportioned to the extent of surface exposed ; but, very frequently, fatal flooding occurs where the exposed space scarcely exceeds an inch.


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