BIBLIOGRAPHIC NOTICES. Recent Continental Intelligence connected with the Practice of 1. Case of Exophthalmos, by Dr. Dohlhaff Page. 439 2. Discharges from the urethra, during dentition, by Dr. Mehliss. 441 4. Researches into the Nature of purulent Matter issuing from 5. On Luminous appearances of the Eyes, by M. Savigny 442 451 454 455 7. New Method of extirpating the Tongue, by Professor Reynoli. 456 Essays on various Subjects connected with Midwifery. By A Treatise on the Infantile Remittent Fever, or the Gastric Fe- Illustrations of Osteology. By THEODORE S. G. BOISRAGON 458 468 470 471 471 A Treatise on Neuralgia. By RICHARD ROWLAND, M. D. &c., 472 473 Instructions for Organic Analysis. By JUSTUS LIEBIG, M. D. Professor of Chemistry in the University of Giesen. Translated by WM. GREGORY, M. D., M. R. I. A. 474 SCIENTIFIC INTELLIGENCE. PROCEEDINGS OF THE DUBLIN OBSTETRICAL SOCIETY. January 3, 1939 (Dr. LABATT in the Chair) 478 1. History and Treatment of Vomiting in Infants. (Dr. Mac Adam.) 2. On the Value of Medical Evidence in Infanticide. (Dr. Thomas Brady.) 3. Excoriation of the Neck of the Fatus, produced by Pressure of the Cord. (Dr. Kennedy.) February 7, (Dr. KENNEDY in the Chair) 1. On the Peculiarities of the Fœtus. (Mr. Purdon.) 485 2. Case of Extra-uterine Pregnancy. 3. Rupture of the Uterus treated by Opium. >(Dr. E. Murphy.) 5. Dropsy of the Ovum. 6. Duration of Pregnancy. (Dr. Forster.) March 9, (Dr. E. MURPHY in the Chair) On Labour rendered tedious by anomalous Conditions of the Pelvis. (Mr. Ringland.) 492 2. Chronic Disease of the Larynx, with interstitial Absorption of a large Portion of the Cricoid Cartilage. (Mr. Adams.) 3. Rapid and General Dilatation of the Air Cells. (Dr. Stokes.) 4. Aneurism of the ascending Aorta, extending to the right side. 5. Compression of the Trachea and Esophagus by a ring of Can- cerous Tumours. Cancerous Deposits in the Bronchial Tubes. 6. Fistulous Opening upon each side of the Neck, communicating with the Esophagus. (Mr. Cusack.) 7. Intussusception of the lower Portion of the Ileon into the 8. Condensation of the Cellular Tissue in Infants. (Dr. Evory 9. Contamination of the Foetus by Syphilis. Sixteenth Meeting (ABRAHAM COLLES, M. D., in the Chair) 497 1. Ulceration of the Larynx. (Dr. Bigger.) 2. Monstrous Fetus. (Dr. Montgomery.) 3. Fragilitas Ossium. (Mr. Adams.) 4. Morbus Coxæ Senilis. Case of Dr. Perceval. (Dr. Colles.) 5. Cancer of the Uterus. (Dr. John Crampton.) Seventeenth Meeting (Mr. CARMICHAEL in the Chair) 1. Encephaloid Disease of the Kidney. (Mr. Mayne.) 6. Laryngismus Stridulus. (Dr. Thomas Beatty.) 7. Portion of a Lumbricus found in the Trachea. 1. Pneumonic Solidity of the Lung with Costal Indentations. (Dr. 2. Conversion of the false Membranes of Pleuritis into Tubercle. 3. Rheumatic Arthritis of the Elbow Joint. (Mr. Adams.) 4. Extensive Ossification of the False Membranes in Pleuritis, with Encysted Hydrothorax. (Professor Harrison.) 5. Polypous Excrescences of the Mucous Membrane of the Stomach. 6. Separation of the Os Uteri during Delivery. (Dr. E. Kennedy.) Nineteenth Meeting (Professor Graves in the Chair). 1. Strangulated Femoral Hernia, with Stercoraceous Abscess of the 2. Aneurism of the ascending Aorta, with Empyema of the right Pleura, and subsequent Tubercle of the Lungs. (Mr. Ferrall.) 3. Great Enlargement of the Thymus Gland. (Dr. Montgomery.) 4. Aneurism of the Aorta, compressing the Pulmonary Artery. 5. Ossification of the Heart. (Mr. Smith.) Twentieth Meeting. (Dr. COLLES in the Chair) 1. Chronic Endocarditis, with permanent Patency of the Aortic 2. Inflammation of the Iliac, Femoral, Tibial, and Uterine Veins oc- curring after Delivery. (Professor Harrison.) 3. Rupture of the Liver. (Professor Harrison.) 4. Sacculated Condition of the Bladder. (Dr. Colles.) 5. Cysts of the Bladder. (Mr. Adams.) 6. Malformation of the Aortic Valves. (Mr. Bigger) Successful Extirpation of the Parotid Gland, by Dr. Randolph, We beg to acknowledge the receipt of the past numbers of the Medical Examiner, edited by Drs. Biddle, Clymer, and Geshard, of Philadelphia. Dr. Sharkey's communication on the Contagion of Cholera will appear in the Reviews of Dr. Holland's Medical Notes and Reflections, and of Mr. Pettigrew's unique and interesting work, the Medical Portrait Gallery, are in course of prepara- THE DUBLIN JOURNAL OF MEDICAL SCIENCE, 1 JULY, 1839. PART I. ORIGINAL COMMUNICATIONS. ART. IX. Observations in Reply to a Paper published by Mr. H. Carmichael in the Dublin Journal for January, 1839, on the Position of the Placenta, &c.; in which also an Attempt is made to point out the Circumstances which determine the Situation of its Attachment, and to account for the Occurrence of Placenta Prævia. By RICHARD DOHERTY, M. D., and Licentiate in Midwifery, Edinburgh; Clinical Clerk to the Lying-in Hospital, Rutland-square; Secretary to the Obstetrical Society, and lately one of the Physicians to the Parochial Dispensary of St. Thomas, Dublin. [Read before the Dublin Obstetrical Society.] In common with many of my professional brethren I lately derived great pleasure from perusing a paper published by Mr. HughCarmichael, in the Dublin Journal of Medical Science for January last," On the Position of the Placenta or After-birth in the Womb during Pregnancy, and on the Manner the latter Organ VOL. XV. NO. 45. 2 z expands therein; as also of its subsequent Contractions in the Process of Parturition." Struck with the ingenious and novel manner in which the author explains one of Nature's most mysterious operations, I determined to lose no opportunity which the vast field for observation afforded by the Lying-in Hospital, Rutland-square, permitted me to enjoy, of testing the views there put forward; and having already met several cases, whose history I consider incompatible with them, I shall proceed to detail objections founded on those cases, (and I think fairly deducible from them,) which appear to me fatal to his theory. Mr. Carmichael, having proved it essential to the life of the fœtus, that an uninterrupted communication be maintained between the child and the placenta, details the opinions generally entertained on the subject of his investigations; namely, that the placenta, on its formation, is attached to or near to the fundus uteri, and continues in that position throughout pregnancy, with occasional deviations, all of which, except those at the neck and mouth, are compatible with safety, indeed immaterial; that the expansion of the womb is produced by a general increase of its parietes yielding in all directions, the neck and mouth being the last to expand, and that its contractions proceed in a corresponding, but retrograde order, the fundus first contracting, and afterwards the other parts in all directions, the placenta in each of the two latter continuing at the fundus throughout the entire process.* Admitting the original position of the placenta at its formation to be at the fundus, Mr. Carmichael denies that it continues in that relative situation throughout gestation, and endeavours to prove the result of such an arrangement should be, a partial separation followed by hæmorrhage during the growth, or at all events during the contractions of the uterus. And the reasons he assigns for these opinions are two-fold. In the first place, the principal growth of the uterus is, as must be admit *Page 452. |