An address to British females on the moral management of pregnancy and labour, and some cursory observations on medical deportment : $b Suggested by the death of Her Royal Highness Princess Charlotte Augusta of Wales: with a vindication of Her Royal Highness's physicians, Sir Richard Croft, Dr. Baillie, and Dr. Sims — John Shaqi
An address to British females on the moral management of pregnancy and labour, and some cursory observations on medical deportment : $b Suggested by the death of Her Royal Highness Princess Charlotte Augusta of Wales: with a vindication of Her Royal Highness's physicians, Sir Richard Croft, Dr. Baillie, and Dr. SimsCooke, William
History
An address to British females on the moral management of pregnancy and labour, and some cursory observations on medical deportment : $b Suggested by the death of Her Royal Highness Princess Charlotte Augusta of Wales: with a vindication of Her Royal Highness's physicians, Sir Richard Croft, Dr. Baillie, and Dr. Sims
Cooke, William
Baillie, Matthew, 1761-1823; Charlotte Augusta, Princess of Great Britain, 1796-1817 -- Death and burial; Croft, Richard, Sir, 1762-1818; Labor (Obstetrics); Obstetrics; Pregnancy -- Complications; Prenatal care; Sims, John, 1749-1831
Persons whose minds have been little cultivated, are apt to seek undue
commendation, and to gain by improper means the confidence of their
employer. However well disposed and well informed the lady, perhaps
her knowledge of parturition may be circumscribed by her personal
experience. But the nurse is supposed to have gained much knowledge,
beyond the immediate obligations of her own station, by her intercourse
with medical practitioners. She thinks herself competent to the
comparison of the different methods of management which may consist in
mere circumstantial differences, but which by her are made important.
She thinks herself competent to change diet, to administer medicine,
to regulate the time of rising and sitting up, in the absence of the
practitioner, and often even contrary to his orders. Because they have
seen spirituous liquor given in some cases without actual injury,
they think it may be given in all; and it is often only by a positive
injunction this can be counteracted. They propagate unnecessary follies
respecting the peculiar dangers of certain days. And if the patient be
dejected, they rally them, and often urge the necessity of premature
rising to dinner or tea, to promote cheerfulness. Within the last few
weeks, though spirits had been decidedly prohibited in a case of first
parturition, as soon as the practitioner had left, the nurse so boldly
urged some brandy, that the lady could not refuse compliance. The
obtrusiveness and loquacity of this person very materially affected
the recovery of an interesting woman. We express ourselves strongly
and decidedly on this point, because we pity a delicate inexperienced
female, who happens at so critical a moment to be managed by an
ignorant or obtrusive nurse; and because we have no question that most
of the evils which spring up subsequently to parturition, arise from
the contravention of proper orders, either respecting quietude or diet.
During the first few days or week in all cases the entire regulation of
even minute particulars should be under the direction of the medical
attendant; and in some cases this attention must be carried farther.
It must not be tolerated that a woman who shall have had the longest
experience, and who may even be able to detect striking differences,
should prescribe either counter to established regulations, or when
medical advice is accessible. There certainly are instances of sudden
transition, in which the nurse must act according to her best judgment,
and in which, if wrong, she is not blame-worthy. When on this topic,
I cannot totally exonerate the accoucheur from some connivance in the
assumed importance of the nurse; and through a want of explicitness
and decision, she has often been left either to the selection of her
own plans, or plans have been so carelessly or loosely suggested, that
it may justly be questioned whether it was intended they should be
enforced.
Public-domain text, read in full here on John Shaqi.
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