Education, Medical -- Massachusetts -- 19th century; Homeopathy; Libraries, Medical -- Massachusetts -- 19th century; Medicine
In the autumn of 1829 a physician was present at the examination of
a case of puerperal fever, dissected out the organs, and assisted in
sewing up the body. He had scarcely reached home when he was summoned to
attend a young lady in labor. In sixteen hours she was attacked with the
symptoms of puerperal fever, and narrowly escaped with her life.
In December, 1830, a midwife, who had attended two fatal cases of
puerperal fever at the British Lying-in Hospital, examined a patient
who had just been admitted, to ascertain if labor had commenced. This
patient remained two days in the expectation that labor would come
on, when she returned home and was then suddenly taken in labor and
delivered before she could set out for the hospital. She went on
favorably for two days, and was then taken with puerperal fever and died
in thirty-six hours.
“A young practitioner, contrary to advice, examined the body of a
patient who had died from puerperal fever; there was no epidemic at the
time; the case appeared to be purely sporadic. He delivered three
other women shortly afterwards; they all died with puerperal fever, the
symptoms of which broke out very soon after labor. The patients of his
colleague did well, except one, where he assisted to remove some coagula
from the uterus; she was attacked in the same manner as those whom he
had attended, and died also.” The writer in the “British and Foreign
Medical Review,” from whom I quote this statement,--and who is no
other than Dr. Rigby, adds, “We trust that this fact alone will forever
silence such doubts, and stamp the well-merited epithet of 'criminal,'
as above quoted, upon such attempts.” [Brit. and For. Medical Review for
Jan. 1842, p. 112.]
From the cases given by Mr. Ingleby, I select the following. Two
gentlemen, after having been engaged in conducting the post-mortem
examination of a case of puerperal fever, went in the same dress, each
respectively, to a case of midwifery. “The one patient was seized with
the rigor about thirty hours afterwards. The other patient was seized
with a rigor the third morning after delivery. One recovered, one died.”
[Edin. Med. and Surg. Journal, April, 1838.] One of these same gentlemen
attended another woman in the same clothes two days after the autopsy
referred to. “The rigor did not take place until the evening of the
fifth day from the first visit. Result fatal.” These cases belonged to a
series of seven, the first of which was thought to have originated in
a case of erysipelas. “Several cases of a mild character followed the
foregoing seven, and their nature being now most unequivocal, my friend
declined visiting all midwifery cases for a time, and there was no
recurrence of the disease.” These cases occurred in 1833. Five of them
proved fatal. Mr. Ingleby gives another series of seven cases which
occurred to a practitioner in 1836, the first of which was also
attributed to his having opened several erysipelatous abscesses a short
time previously.
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