Introductory notes on lying-in institutions : $b Together with a proposal for organising an institution for training midwives and midwifery nurses — John Shaqi
Introductory notes on lying-in institutions : $b Together with a proposal for organising an institution for training midwives and midwifery nursesNightingale, Florence
Science
Introductory notes on lying-in institutions : $b Together with a proposal for organising an institution for training midwives and midwifery nurses
Nightingale, Florence
Women's hospitals
_Maternité, Paris._—We have seen from the statistics that the chief of
chief offenders in times past has been the Maternité at Paris. This
establishment was in former times the monastery of ‘Port Royal de
Paris.’ It is situated in one of the most healthy open spots on the
outskirts of the French capital, and, as far as situation is concerned,
ought to be healthy. The building was devoted to its present destination
in 1795, and has undergone many changes since that date. It contains 228
beds for lying-in women, and, besides, accommodation for 94 pupil
midwives. From 1,000 to 2,200 deliveries and upwards take place here
annually: from 1840 to 1849 there were as many as 3,400 annually. Until
recently it consisted properly of three divisions, delivery wards, cells
for delivered women in the process of recovery, and an infirmary.
The delivery ward is well-lighted on two sides, and communicates with an
operation theatre, where lectures are also given.
The woman, if progressing favourably after delivery, was removed to one
of the cells in what may be called the recovery ward. The construction
of these cells was as follows:—a long corridor, with windows on opposite
sides, was divided into separate cells, each cell having its own window,
by partitions stretching one third across the corridor, but not cut off
on the end towards the middle of the corridor. Each cell was provided
with a bed and a cradle, so that in walking up the centre of the
corridor the divisions, or rather the cells, opened right and left from
the passage, like the stalls of a stable. This construction rendered it
almost impossible to open the windows. The infirmary consisted of small
wards of three or four beds each, into which were moved indiscriminately
patients suffering with all classes of disease. And it appears, from Dr.
Le Fort’s account, that pupil midwives had at the same time patients in
the infirmary, and healthy women, both delivered and not delivered,
under their care. Pregnant women are often admitted weeks, and even
months before delivery, at the Maternité. [So also at the Midwives’
Clinique at Vienna.]
Recently the cells have been removed from the corridor, and glass
partitions have been thrown across from back to front, each division
containing six beds, but communicating with the adjoining divisions by
means of doors intended to be used only when the service requires it.
The infirmary has been completely separated from this portion of the
establishment, but all classes of cases are still transferred into the
infirmary as before.
As consequences of these arrangements, we have in the Maternité the
following conditions:—
1. The agglomeration of a number of lying-in women under the same roof.
2. An internal construction of the building not suited to give fresh
air, to say the least of it.
Public-domain text, read in full here on John Shaqi.
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