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
To practitioners of this description, I would also say, that especially
in lingering cases, the management of mind is truly important. The
mind is in the condition of the quickest sensibility. Every thing
transacted about the patient should be done openly. All whisperings
or attempts at secrecy, excite the utmost curiosity, and essays at
evasion only heighten the distress. All allusion to unfavourable cases
should be most sacredly avoided. Nothing should tempt the individual
on whom reliance is placed in these instances, to concede the truth―a
falsehood once detected, contravenes all future trust; and however
there may be exhibited the external signs of belief the mind will be
harassed with the most painful suspicion. A most guarded prognostic
too, not only in reference to the issue, but the duration, is
essentially requisite. The endurance of pain, ever raises more or less
anxiety for ease; and as in child-birth it is known there is a limit―a
period when the trouble shall instantly cease―there is peculiar
desire to ascertain the probable duration of suffering. The hopes
and wishes of practitioners often seduce them into a definition. The
period arrives, and is succeeded by disappointment―another is fixed,
which equally disappoints the expectation, and ceaselessly enervates
the patient. A disposition in the attendants to excite unwarrantable
expectation too, should be early checked. The solicitous inquiries of
the patient, must be met by a candid avowal of her situation―a decided
assurance, that although it is not possible to define the duration,
the procedure is perfectly safe. A distinct assurance should be given,
that although there are numerous little circumstances which retard
or expedite delivery, they do not affect the termination. That with
the prospect of a safe deliverance, a somewhat prolonged suffering
is comparatively trivial. And, in most cases, however serious, it is
easy to suggest some exemption, for the absence of which thankfulness
should be cultivated.
Varied as the cases of parturition are, if the _principle_ is kept in
view, an intelligent mind will supply the deficiency. And a female will
be conducted through a lingering labor with much less suffering, and
much less exhaustion than under more unguarded treatment. The choice of
food under these circumstances, certainly is not indifferent. In the
time of labor, all the functions are disturbed―not only by sympathy,
but by the positive influence of pain. Such diet should be adopted
as is least irritating, and with most facility is converted into
nutriment. Gruel, preparations of arrow-root, sago, &c., without wine
(except under peculiar circumstances) are best, and the patient should
be encouraged to take them at proper intervals.
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