Identifier: obstartc00meig (find matches)
Title: Obstetrics : the science and the art
Year: 1856 (1850s)
Authors: Meigs, Charles D. (Charles Delucena), 1792-1869
Subjects: Obstetrics Midwifery
Publisher: Philadelphia : Blanchard and Lea
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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p. 52. Dr. Gour-Fig. 01. bey re insists that mor- # bus Brightii, commonly called albuminuria, andalbuminuric nephritis, isnothing more or less thandisalbumination of theblood, and that disalbu-mination of the bloodmay take place in per-sons whose health is per-fect as far as the kidney isconcerned, and in whoseurine neither tubuli-castsnor the least trace ofalbumen can be detected.What then, I repeat, isalbuminuria of gestation?Is it not a vitiated stateof the blood, dependenton morbid changes super-induced by pregnancy inthe blood-membrane, andis it anything else than asymptom of hydraemia?Is it not in many of theeases developed duringthe labor in consequenceof the violence of thecirculation? The verystrongest advocate of thedoctrine of ursemic in-toxication as causative ofeclampsia. Dr. (J. Braun,says, at p. 282, op, e//.,that there is no constantrelation of the quantityof albumen in the urineto the period of labor inwhich the convulsions break out, but the amount of albumen does
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PRETERNATURAL LABOR, 165 augment in the ratio of the repetitions of the eclampsic paroxysms.To me it appears that this admission strengthens the opinion thatchildbed fits depend not so much on the qualities of the blood, as onits impetus in circulation, and that its morbid qualities are ratherresults than causes. To set the matter more clearly before the eyes of the Student, Iannex two figures, which I have taken from Eckers edition ofRudolph Wagner s Icones Physiological. Fig. 91 is a magnified sectionof a portion of kidney, in which the artist has represented several ofthe tubuli uriniferi proceeding upwards (II II), and dividing as theygo to terminate in capsules. Two of these capsules are seen on the leftupper portion of the picture, at B B, while others are seen dispersedin various parts of the field. These capsules are the blind sacs inwhich the tubuli uriniferi (H II) end, and we may suppose that ifwater were injected by an Anells syringe into one of the urine poresof a nipple

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