PARTURIENT PARESIS 



353 



COMPARATIVE REVIEW. 



SEPTIC METRITIS. 



ACUTE PUERPERAL 

 SEPTICEMIA. 



PUTRID PUERPERAL 

 INTOXICATION. 



1. Sets in on third or 

 fourth day after birth. 



2. Temperature 

 40.5° C. 



9.5 to 



3. Pulse normal or 

 slightly accelerated. 



4. The uterus contains a 

 fetid chocolate colored 

 liquid with remains of 

 afterbirth. 



5. In 20 per cent, of the 

 cases recovery may 

 take place. The dis- 

 ease may also termin- 

 ate fatally in four or 

 five days or take a 

 subacute course. 



Sets in two or three 

 days after birth with 

 symptoms of serious 

 illness. 



Temperature up to 41.5° 

 C 



Pulse and respiration 

 frequent. Mucous 

 membrane injected, 

 slightly icteric. 



The uterus occasionally 

 contains a portion of 

 the afterbirth. Puer- 

 peral ulcers are found 

 upon the mucous mem- 

 brane of the vagina 

 and vulva. Putrefac- 

 tion need not be pres- 

 ent. 



The course is fatal in 

 almost all cases with- 

 in one to three days. 



Sets in on fourth or fifth 

 day after birth and 

 even later. 



Temperature normal. 



Pulse normal. 



The uterus contains pie- 

 ces of the afterbirth 

 lving in a fetid brown 

 fluid. 



Early treatment may be 

 followed by recovery 

 Where saprasmia is 

 well established (seri- 

 ous illness with symp- 

 toms of paralysis) the 

 course is usually un- 

 favorable. 



8. — Parturient Paresis. 



By parturient paresis, a name originated by Schmidt- 

 Miilbeim, is understood a disease of the central nervous system, 

 occurring in the cow during the first few days after parturition, 

 rarely before or during birth. It is a disease characterized by 

 an acute course, attacking mostly cows five to eight years old, 

 and which have been fed well and are heavy milkers. 



History. — J. G. Eberhard described this disease already 

 in 1793 under the name of "Moerzickte." He gives a detailed 



