On chloroform and other anæsthetics: their action and administrationSnow, John
History
On chloroform and other anæsthetics: their action and administration
Snow, John
Anesthetics; Chloroform; Snow, John, 1813-1858
The chloroform has always been left off as soon as the child was born,
but a little has been administered again on several occasions during the
expulsion of the placenta. The placenta has generally been expelled very
soon in the labours in which I have given chloroform; usually in about
five minutes. There has hardly ever been uterine hæmorrhage of any
amount, except in patients who had suffered from it in previous labours.
In a case attended by Mr. Nathaniel Ward, however, there was a slight
hæmorrhage before the birth of the child, and about an hour afterwards
there was a considerable hæmorrhage which made the patient feel rather
faint for some hours. She afterwards went on favourably, however. She
was a young woman who had had several children.
A patient, to whom I was recommended by Sir John Forbes, inhaled
chloroform in three confinements. She recovered favourably from the two
first; but on the third occasion, after going on favourably till the
fifth day, she was attacked with puerperal fever, and died on the
seventh day from her confinement.
I am not aware that more than one death has been recorded as having
occurred from chloroform during labour; and this took place in England,
in 1855, when no medical man was present.[151] The patient had inhaled
chloroform in America in a previous labour; but her medical man, on the
last occasion, who was her particular friend, forbad that agent, and
said that if she was determined to have it, he would not attend her. She
procured chloroform unknown to him, and a number of scents to put on her
handkerchief and hide the odour of it from him. He went to bed in the
house, and was not called up till his patient had been dead about an
hour. The monthly nurse, who had procured the chloroform for the
patient, said that she snored very loudly for an hour after she fell
asleep. About five drachms of chloroform were used from the bottle, and
the handkerchief from which it was inhaled remained close to the
patient’s face till she died. The death seemed to have taken place very
slowly, and the monthly nurse was extremely stupid to allow the patient
to die. It may also be remarked that the accident would not have taken
place except for the medical man’s extreme objection to the use of
chloroform.
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