th.
It survived twenty-four hours, and at the postmortem examination it was
found that some were already solid, some uniting, whilst others were
recent. It often happens that the intrauterine fracture is well united
at birth. There seems to be a peculiar predisposition of the bones to
fracture in the cases in which the fractures are multiple and the cause
is not apparent.
The results to the fetus of injuries to the pregnant mother are most
diversified. In some instances the marvelous escape of any serious
consequences of one or both is almost incredible, while in others the
slightest injury is fatal. Guillemont cites the instance of a woman who
was killed by a stroke of lightning, but whose fetus was saved; while
Fabricius Hildanus describes a case in which there was perforation of
the head, fracture of the skull, and a wound of the groin, due to
sudden starting and agony of terror of the mother. Here there was not
the slightest history of any external violence.
It is a well-known fact that injuries to the pregnant mother show
visible effects on the person of the fetus. The older writers kept a
careful record of the anomalous and extraordinary injuries of this
character and of their effects. Brendelius tells us of hemorrhage from
the mouth and nose of the fetus occasioned by the fall of the mother;
Buchner mentions a case of fracture of the cranium from fright of the
mother; Reuther describes a contusion of the os sacrum and abdomen in
the mother from a fall, with fracture of the arm and leg of the fetus
from the same cause; Sachse speaks of a fractured tibia in a fetus,
caused by a fall of the mother; Slevogt relates an instance of rupture
of the abdomen of a fetus by a fall of the mother; the Ephemerides
contains accounts of injuries to the fetus of this nature, and among
others mentions a stake as having been thrust into a fetus in utero;
Verduc offers several examples, one a dislocation of the fetal foot
from a maternal fall; Plocquet gives an instance of fractured femur;
Walther describes a case of dislocation of the vertebrae from a fall;
and there is also a case of a fractured fetal vertebra from a maternal
fall. There is recorded a fetal scalp injury, together with clotted
blood in the hair, after a fall of the mother: Autenrieth describes a
wound of the pregnant uterus, which had no fatal issue, and there is
also another similar case on record.
The modern records are much more interesting and wonderful on
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