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
In regard to the probable termination of this disease, but little
hope can be entertained that it will be favorable. Nor are there many
indications that can be relied upon with certainty, as to what course
it is likely to take. In general it is favorable when the swelling
subsides, and the pains abate in severity, and particularly if the milk
and lochia begin to be secreted again. The indications are also good
in proportion as the symptoms are mild, and when there is no great
sympathetic disturbance of other parts of the system. It is regarded as
unfavorable when the pain and tenderness extends over a large portion
of the abdomen, and when the attack commences very suddenly. The danger
is also considered greater in proportion as the disease begins nearer
to delivery; and when its first symptoms exhibit themselves before
labor it is always considered mortal. It is likewise more dangerous
with twins than with a single birth, and with first children than
afterwards. It is seldom possible however to come to any probable
conclusion till between the fifth and tenth day, and even then it is in
general a matter of great uncertainty.
The best treatment of this fearful disease is one of the greatest
problems in medical science. So many different plans have been adopted,
and with such various success, that the history of past cases affords
but little reliable data to guide us in future ones. In general the
most powerful _antiphlogistic_ measures, or those thought most likely
to reduce the inflammation at once, are immediately resorted to, such
as bleeding, purgatives, and cold bathing. Bleeding is in particular
the great agent depended upon, either from the arm, or by cups and
leeches to the abdomen and vulva. Dr. Gordon, of Aberdeen in Scotland,
who once met with a regular epidemic of puerperal fever in that city,
assures us that nothing else succeeded in arresting the disorder but
copious and frequent bleeding, at the very commencement. He carried it
so far as to take _twenty-four ounces_ at once, and he says that when
he did so the patient was nearly sure to recover, but that at first,
when he only abstracted about twelve ounces, she was as nearly sure
to die. In about fifty cases to which he was called in time, he only
lost _five_, and taking the average of all he attended the recoveries
were about two-thirds of the whole number, which is above the usual
proportion.
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