^Ree
CASES
OF
OCCURRING
UMBILICAL IN
THE
HEMORRHAGE
SAME
FAMILY.
BY
James Taylor, M.R.C.S. Eng. Ca
I.?1879. ^..Se^?She is
f^il
Of the
Sept. 29. Female, aged 13 days. eighth child in an otherwise healthy the previous seven children six are living and seventh died in infancy of whooping cough and the
238
MR.
TAYLOR
JAMES
bleeding in parents or their children, but the mother's first cousin (father's brother's child) lost two of her children from umbilical hemorrhage. This is a fine large baby. The cord was very thick and d1 a not separate till seven days after birth. Before it separated, visitor, in taking the child up to nurse it, seized hold of front of the child's clothing, and since then the navel has beeti inclined to weep. The bleeding has set in more severely to-d^ There is
pneumonia.
no
history
of
but there have been small clots
(13th day),
since the accident.
slight
venous
some
hours).
The child is
oozing (enough Directions
not at
away all blanched. There
to stain the
were
given
eVer
coming
u
bandage through
that the bleeding
surface
should be dusted with tannic acid.
Sept. 30.?Bleeding continues, but is not more profase Tincture of matico applied in place of tannin. In the eveni11" the hemorrhage became profuse. On consultation, strong Per chloride of iron was applied with a pad and bandage, wh1 stopped the bleeding for twelve hours. ^ Oct. 1,?Hemorrhage was now profuse. Solid perchlorl of iron, ice, turpentine, pressure kept up manually, and actual at 5
cautery
October 2, three
a.m. on
days
no
d*e effect, and the child
after onset.
the illness the child's elbows and ankles
During to
all tried with
were
were
noti?e
j
become discoloured. Case
Labour
II.?1883. was
normal.
Dec.
19,
The
d^y
Female, aged eight
infant is
a
fine
healthy-l00^"
one.
.
This is the tenth child. from the
umbilicus,
The ninth had
and lived
it died of diarrhoea.
to
no
trace
of
be fourteen months
The umbilical cord has not yet
blee^'
old,
^
com
p
clothes
was
are
quite
found saturated with
blood,
and the remains of
are
umbilical
in the
scar.
bandage.
^
^
a^?U^
Above the umbilicus, for red is and the skin abraded; blood is surface the inch, Blood is also welling up from the bottom from this.
cord
*
0"'
?u^j
well at 5 a.m., when it was taken its cot, but at 8 o'clock the front of its night-dress was st& with blood. The child is blanched, and on stripping it The child
^
^
00
^
ON THREE CASES OF UMBILICAL HEMORRHAGE.
Pressure
and
vhen
styptics stopped
the
bleeding till
239
the afternoon,
recused. hare-lip pins Then, on consultation, introduced under the umbilical scar, one from above inwards and the other transversely, and a thread passed ?und underneath. These effectually stopped the bleeding, two
^ere
^ie even^no and next day the child rallied considery! and with the exception of the tendency to bleed at the of entrance and exit of the pins there was no bleeding,
abf
during the evening of Dec. 22 (two days after the ration) hemorrhage recurred, the blood welling up from ^ c^ures? and in spite of tightening the ligature (which successful for a time) and the application of styptics, the ^ died at 6 a.m. on Dec. 22, that is three days after the Q 1 ?f the hemorrhage. III.?1887. Nov. 10. Male, aged ten days. This js
however,
the
?
?
T~\
The eleventh
4
presentation;
Co^eech
death
was
was
full term; pressure on the
stillborn,
caused
by
?
at
^ab?ur was perfectly natural. The cord came off on the Ver*h day. Th' the nurse found a patch of dark-coloured ^Oq ?n morning the rag over navel. On examination, the navel looks ^ealthy, but the edges are weeping a serous fluid. No *s coming from it. With a view to euthanasia, and from past failures to stop the bleeding, the child was ^ ^ a s^eet wadding, the nurse was to sit with it on Vk 1166 an
CASES
OF
OCCURRING
UMBILICAL IN
THE
HEMORRHAGE
SAME
FAMILY.
BY
James Taylor, M.R.C.S. Eng. Ca
I.?1879. ^..Se^?She is
f^il
Of the
Sept. 29. Female, aged 13 days. eighth child in an otherwise healthy the previous seven children six are living and seventh died in infancy of whooping cough and the
238
MR.
TAYLOR
JAMES
bleeding in parents or their children, but the mother's first cousin (father's brother's child) lost two of her children from umbilical hemorrhage. This is a fine large baby. The cord was very thick and d1 a not separate till seven days after birth. Before it separated, visitor, in taking the child up to nurse it, seized hold of front of the child's clothing, and since then the navel has beeti inclined to weep. The bleeding has set in more severely to-d^ There is
pneumonia.
no
history
of
but there have been small clots
(13th day),
since the accident.
slight
venous
some
hours).
The child is
oozing (enough Directions
not at
away all blanched. There
to stain the
were
given
eVer
coming
u
bandage through
that the bleeding
surface
should be dusted with tannic acid.
Sept. 30.?Bleeding continues, but is not more profase Tincture of matico applied in place of tannin. In the eveni11" the hemorrhage became profuse. On consultation, strong Per chloride of iron was applied with a pad and bandage, wh1 stopped the bleeding for twelve hours. ^ Oct. 1,?Hemorrhage was now profuse. Solid perchlorl of iron, ice, turpentine, pressure kept up manually, and actual at 5
cautery
October 2, three
a.m. on
days
no
d*e effect, and the child
after onset.
the illness the child's elbows and ankles
During to
all tried with
were
were
noti?e
j
become discoloured. Case
Labour
II.?1883. was
normal.
Dec.
19,
The
d^y
Female, aged eight
infant is
a
fine
healthy-l00^"
one.
.
This is the tenth child. from the
umbilicus,
The ninth had
and lived
it died of diarrhoea.
to
no
trace
of
be fourteen months
The umbilical cord has not yet
blee^'
old,
^
com
p
clothes
was
are
quite
found saturated with
blood,
and the remains of
are
umbilical
in the
scar.
bandage.
^
^
a^?U^
Above the umbilicus, for red is and the skin abraded; blood is surface the inch, Blood is also welling up from the bottom from this.
cord
*
0"'
?u^j
well at 5 a.m., when it was taken its cot, but at 8 o'clock the front of its night-dress was st& with blood. The child is blanched, and on stripping it The child
^
^
00
^
ON THREE CASES OF UMBILICAL HEMORRHAGE.
Pressure
and
vhen
styptics stopped
the
bleeding till
239
the afternoon,
recused. hare-lip pins Then, on consultation, introduced under the umbilical scar, one from above inwards and the other transversely, and a thread passed ?und underneath. These effectually stopped the bleeding, two
^ere
^ie even^no and next day the child rallied considery! and with the exception of the tendency to bleed at the of entrance and exit of the pins there was no bleeding,
abf
during the evening of Dec. 22 (two days after the ration) hemorrhage recurred, the blood welling up from ^ c^ures? and in spite of tightening the ligature (which successful for a time) and the application of styptics, the ^ died at 6 a.m. on Dec. 22, that is three days after the Q 1 ?f the hemorrhage. III.?1887. Nov. 10. Male, aged ten days. This js
however,
the
?
?
T~\
The eleventh
4
presentation;
Co^eech
death
was
was
full term; pressure on the
stillborn,
caused
by
?
at
^ab?ur was perfectly natural. The cord came off on the Ver*h day. Th' the nurse found a patch of dark-coloured ^Oq ?n morning the rag over navel. On examination, the navel looks ^ealthy, but the edges are weeping a serous fluid. No *s coming from it. With a view to euthanasia, and from past failures to stop the bleeding, the child was ^ ^ a s^eet wadding, the nurse was to sit with it on Vk 1166 an
