The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of MedicineHollick, Frederick
Science
The Matron's Manual of Midwifery, and the Diseases of Women During Pregnancy and in Childbed: Being a Familiar and Practical Treatise, More Especially Intended for the Instruction of Females Themselves, but Adapted Also for Popular Use among Students and Practitioners of Medicine
Hollick, Frederick
Chloroform; Gynecology; Indian Territory; Midwifery; Obstetrics; Pregnancy
During pregnancy convulsions generally cause abortion, either by
bringing on uterine contractions or by causing the death of the child.
Some few patients have suffered from them however, and yet gone their
full time, but this must never be expected. A gradual extinction of
the vital spark, during the stupor is the ordinary termination, though
sudden death is not unfrequent, during the fit. Gradual recovery is
occasionally witnessed, but seldom without partial loss of memory, or
some other affliction. Madame Lachapelle says that _one-half_ of the
females attacked with convulsions die, and of their children many more.
There is no doubt but that the _tendency_ to this fearful affliction
may be very much lessened in many females, by proper attention to diet
and regimen. Those who are of a full habit, and disposed to headache,
and rush of blood to the head, should live low, and carefully avoid
everything of a heating or stimulating character, and also every kind
of excitement or agitation. The bowels should be kept free, and the
skin well rubbed and kept warm, and the head cool.
_Treatment._--While the patient is in the fit, care must be taken that
she does not fall off the bed, or bite her tongue, to prevent which
the jaws must be kept apart, by putting something between, as a piece
of soft wood, or the handle of a spoon covered with cloth, or even a
knotted napkin. The face should be sprinkled with cold water, and the
whole body well chafed, particularly the hands and feet, which should
also be made warm as soon as possible. As soon as the spasm is over it
is customary to bleed, either at the arm, or by leeches to the temples
and behind the ears. Mustard poultices should also be applied to the
feet, and inside the thighs, and an enema should be given of warm water
and a table-spoonful of salt. Ice, or cold water, should be applied
to the head constantly, and if possible the body should be immersed
in a hot bath, which will, in many instances, bring the patient round
immediately without any other treatment. The bladder should be also
looked to, as well as the bowels, and if necessary the catheter should
be used. As soon as she can swallow a few drops of laudanum may be
given, or a little ether, but not a full dose by any means.
The propriety of bleeding, even in these cases, is denied by many, and
I am almost inclined to think myself, that a prompt and persevering use
of the other remedies mentioned, would be fully as successful without
it. At all events, the fearful mortality in spite of it proves that it
has not much power, and may well raise a doubt of its utility.
Convulsions however are so fearful and violent, that few practitioners
can resist the temptation to bleed, because it seems so well calculated
to give prompt relief; and besides it has popular prejudice in its
favor. Some authors however assert that it makes the danger greater of
paralysis, and loss of memory, afterwards.
Public-domain text, read in full here on John Shaqi.
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