Journal of the Indian Medical Association January 1953

7) This frequent combinati rn of asphyxia and intracranial haemorrhage made us at times difficult to decide which of the two was actually responsible for the death in the infant The h&morrhages of organs described above were only an expression of venous congestion and stasis to which the fragile and poorly supported vessels of the infant specially in the premature rupture in anoxia. [...] Capsular and intlobular haemorrhages of the thymus subpleural and intralveolar hiemorrhages of the lungs massive intertubula: haemorrhages of the kidneys destroying the normal structure of medulla and subdural and subarchnoid haemorrhage more marked in the posterior cranial fossa were observed. [...] At operation rupture of the uterus was recognised and the foetus with the placenta was found in the peritoneal cavity. [...] In two of them the umbilical cord was tight round the neck in the third twice round the neck and in the fourth thrice round the neck. [...] Haemorrhage of soft tissues of the cranium massive subdural haemorrhage subpleural petechim interstitial haemorrhages of the lungs subcapsular hHmorrhages of the liver intertubular haemorhages of the kidneys and hemorrhages of the medulla 2f adrenals were observed.