I have no wish to express any harsh feeling with regard to the
painful subject which has come before us. If there are any so far
excited by the story of these dreadful events that they ask for
some word of indignant remonstrance to show that science does not
turn the hearts of its followers into ice or stone, let me remind
them that such words have been uttered by those who speak with an
authority I could not claim [Footnote: Dr. Blundell and Dr. Bigby
in the works already cited.] It is as a lesson rather than as a
reproach that I call up the memory of these irreparable errors
and wrongs. No tongue can tell the heart-breaking calamity they
have caused; they have closed the eyes just opened upon a new
world of love and happiness; they have bowed the strength of
manhood into the dust; they have cast the helplessness of infancy
into the stranger's arms, or bequeathed it, with less cruelty,
the death of its dying parent. There is no tone deep enough for
regret, and no voice loud enough for warning. The woman about to
become a mother. or with her new-born infant upon her bosom,
should be the object of trembling care and sympathy wherever she
bears her tender burden or stretches her aching limbs. The very
outcast of the streets has pity upon her sister in degradation
when the seal of promised maternity is impressed upon her. The
remorseless vengeance of the law, brought down upon its victim by
a machinery as sure as destiny, is arrested in its fall at a word
which reveals her transient claim for mercy. The solemn prayer of
the liturgy singles out her sorrows from the multiplied trials of
life, to plead for her in the hour of peril. God forbid that any
member of the profession to which she trusts her life, doubly
precious at that eventful period, should hazard it negligently,
unadvisedly, or selfishly!
There may be some among those whom I address who are disposed to
ask the question, What course are we to follow in relation to
this matter? The facts are before them, and the answer must be
left to their own judgment and conscience. If any should care to
know my own conclusions, they are the following; and in taking
the liberty to state them very freely and broadly, I would ask
the inquirer to examine them as freely in the light of the
evidence which has been laid before him.
1. A physician holding himself in readiness to attend cases of
midwifery should never take any active part in the post-mortem
examination of cases of puerperal fever.
2. If a physician is present at such autopsies, he should use
thorough ablution, change every article of dress, and allow
twenty-four hours or more to elapse before attending to any case
of midwifery. It may be well to extend the same caution to cases
of simple peritonitis.
3. Similar precautions should be taken after the autopsy or
surgical treatment of cases of erysipelas, if the physician is
obliged to unite such offices with his obstetrical duties, which
is in the highest degree inexpedient.
Public-domain text, read in full here on John Shaqi.
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