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 success of these agents, especially _ether_ and _chloroform_, in
_preventing pain_, is undoubted; nor do they appear to have any other
effect, nor to prevent any necessary effort or process of nature,
except in a few cases which will be mentioned further on. Many hundred
operations of the most severe kind, such as cutting off limbs, removing
tumors, stones, and so forth, have been performed while the patients
were under the influence of these agents, and without causing them
_the slightest pain_; in fact, many remain, during the whole process,
in a pleasant dream, and cannot be persuaded, when they wake, that
the dreaded operation is over. The same thing has also been observed
in hundreds of cases of midwifery, both in natural labor and when
instruments have been used. In numerous instances the female has been
_put to sleep_, and safely delivered, without knowing or feeling
anything whatever, during the whole time; the first intimation that
she had become a mother, being the cheering cry of her newborn babe.
In some instances, the state of insensibility has been continued for a
long time, and during its continuance, the most hazardous operations
have been safely performed.
So far as can be safely judged, from the limited time during which such
means have been used, it appears that there is no danger whatever,
from their employment, except when improperly administered, and in
certain peculiar conditions of the system; which causes of danger
will, of course, be removed by competent experience and knowledge. It
is highly encouraging however, to note, though ether and chloroform
have both been used so extensively and indiscriminately, both by those
who understood their nature and those who did not, that the cases in
which they are proved to have done injury, are _not more than two or
three_; and in all those that I have heard of, some obvious impropriety
had been committed in their use. It should be borne in mind, however,
that even if the danger from them was considerable, we might still be
justified in their use. It is well known that, in numerous cases, the
_fear_ of suffering, beforehand, and its severity while being endured,
produce the most serious, and even fatal results. Many a patient has
passed safely through the ordinary effects of a painful operation,
and yet sunk from the mere effects of _fear_ and physical suffering.
Instances have even been known in which a fear of this kind has caused
_death_, and frequently it has given a shock from which the patient
never fully recovered. There is also, frequently, great danger from the
violent efforts and struggles of a person in pain, and many necessary
operations are even prevented altogether by them; this is often
observed in difficult labors. When insensibility is produced, however,
all these causes of difficulty and danger are removed; the patient's
_fears_ are quieted, suffering is entirely prevented, and there is no
struggling to prevent the necessary assistance.
Public-domain text, read in full here on John Shaqi.
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