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
[It is easy to make a rough calculation how many cases of abnormal
parturition occur to how many normal. Is it likely that among
‘twenty-five deliveries’ there will be abnormal cases enough to practise
the pupil-judgment, the pupil-hand?]
These ladies have not even the advantages which the idlest student can
hardly help availing himself of—and _his_ minimum is ‘three years.’ Yet
this is the course proposed to enable a woman to ‘practise midwifery,’
even in the sense in which we understand a man to ‘practise
midwifery,’—to enable a woman to become a physician accoucheuse (for
these ladies are expressly styled ‘accoucheuses’) in the sense in which
we understand a man to be a physician accoucheur.
The paper states, doubtless with truth, that these ladies ‘are the best
taught accoucheuses hitherto accessible to the English public.’ May we
not hope that, in future years, the society will be enabled to give
‘accoucheuses’ still better taught ‘to the English public’?
LONDON: PRINTED BY
SPOTTISWOODE AND CO., NEW-STREET SQUARE
AND PARLIAMENT STREET
-----
Footnote 1:
Exclusive of the case of a poor woman who was delivered in a cab, and
died in the hospital of _post partum_ hæmorrhage.
Footnote 2:
‘So was confined in No. 4 ward.’
Footnote 3:
Patient died 48 hours after delivery.
Footnote 4:
Patient died on her way to the hospital: not included in the
calculated rates.
Footnote 5:
One case had gastric fever on admission, and in two cases puerperal
peritonitis came on after instrumental delivery.
Footnote 6:
In 1868, 69, 70, there were in Liverpool workhouse, 1,416 deliveries,
including 20 premature, and 6 deaths from all causes, of which 3 at
least were non-puerperal. The _total_ death-rate was only 4·2 per
1,000. There were 13 London workhouses in which, in 5 years, 2,459
deliveries, but no deaths in childbed, took place.
Footnote 7:
Exclusive of a fatal case delivered in a cab.
Footnote 8:
One delivery took place in a cab, and the woman died in hospital.
Footnote 9:
Husson, ‘Étude sur les Hôpitaux,’ p. 254.
Footnote 10:
Tables XI., XII., XIII., abstracted from the ‘Statistique médicale des
Hôpitaux de Paris.’
Footnote 11:
This drain was shown on the Plan from which Plate I. is taken.
Footnote 12:
Premature births: Seven months, 8; deaths, 5; six months, 6; deaths,
6; five months, 1; death, 1.
Footnote 13:
1 puerperal convulsions, 1 bowel disease.
Footnote 14:
1 after instrumental labour, 1 metritis.
Footnote 15:
1 heart disease, 1 dropsy.
Footnote 16:
Public-domain text, read in full here on John Shaqi.
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