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
The accidents which have followed from the use of the forceps are
numerous and terrible, and I could give a most horrifying account of
them if it were necessary. It must be recollected however, that these
accidents have chiefly followed from want of skill in managing the
instrument, or from its being used under improper circumstances. It is
true that there is always more or less of pain and injury to be dreaded
from the forceps, even in the most favorable cases, and with the most
competent operators, but this is no argument against their employment
altogether. In every case where they are really called for, the female
would, most probably, die undelivered, or have to be cut open, so that
it is simply a choice of evils, of which the forceps are the least.
The cases in which the forceps are absolutely necessary however, are
VERY RARE, much more so in fact than many people suppose. _Patience_,
and the persevering use of ordinary assistance, would probably succeed
alone in half the cases where they are now employed.
In Murphy's lectures on _difficult Labors_, he gives us some valuable
statistics on this subject. He tells us that in _seventy-five thousand
nine hundred and eleven labors_, the forceps were used only _one
hundred and thirty-eight times_, or once in every _five hundred
and fifty_ labors. In these one hundred and thirty-eight cases
_thirty-five_ of the children died, and _ten_ of the mothers. Dr.
Murphy however, thinks that the general results, to both mother and
child, would be equally favorable if the forceps were _not used at
all_, and he gives the tables of Dr. Collins to support his opinions.
From these tables it really appears that, when all the difficult labors
were left entirely to nature, the number of deaths was _just about
the same as when the forceps are used_, in fact _rather less_, while
the accidents, and subsequent evils, were not nearly so great. Dr.
M. therefore thinks that the forceps should _never_ be used, except
in a few cases where everything is quite favorable to the passage of
the fœtus; and the uterus _cannot_ be made, in a reasonable time, to
contract and expel it; and also when _immediate_ delivery is needed
to save the mother's life, as in flooding. In cases of mere ordinary
difficulty or delay, he decries their use entirely; and he evidently
thinks that when the labor is _fit_ to be terminated by the forceps,
nature can and will terminate it herself if left alone. There is no
doubt but that they are now used a great deal _too much_, either from
a desire to _operate_, or from _want of patience_; and I have no
hesitation in expressing my opinion that more have been _killed_ than
_saved_ by them.
OTHER INSTRUMENTS.
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