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
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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
congestion or rushes of blood, and therefore she was not a fit subject,
and besides, the ether was poured on a _thick table cloth_, which, of
course, prevented the entrance of _air_ along with the vapor, and thus
suffocated. I believe there is _not a single case_ on record of injury
resulting when due precautions have been used, and I have not heard of
one at all in midwifery practice.
_Ether_ having been the first article used, I shall first give an
account of its effects, and then proceed to chloroform, explaining the
mode of administration, and other incidental matters, as I proceed. The
best article on ether which I have met with, is a review in the British
and Foreign Medical Review for April, 1847, of some pamphlets on the
subject, from which I shall make an extract.
In the state of perfect etherization we believe all sensation
is abolished; in a less perfect state an obscure perception of
external objects remains, while the sense of pain is extinct. The
psychical state is various. Generally speaking, the sense of external
impressions becomes at first confused, then dull, then false, with
optical spectra or auditory illusions, general mental confusion,
and then a state of dreaming or utter oblivion. In the majority of
cases the mind is busy in dreaming, the dreams being generally of an
active kind, often agreeable, sometimes the reverse, occasionally
most singular; and, frequently, a great deal is transacted in the few
short moments of this singular trance. Many of the patients who have
undergone the most dreadful operations, such as amputation of one or
both thighs or arms, extraction of the stone, excision of bones,
extirpation of the mamma, have readily detailed to us, and most with
wondering thankfulness, the dreams with which, and with which alone,
they were occupied during the operations. The character of the dreams
seemed to be influenced, as in ordinary cases, by various causes,
immediate or remote, present or past, relating to events or flowing
from temperament.
A good many seemed to fancy themselves on the railway amid its whirl
and noise and smoke; some young men were hunting, others riding on
coaches; the boys were happy at their sports in the open fields, or
the filthy lane; the worn Londoner was in his old haunts carousing
with his fellows; and our merry friend, Paddy, of the London Hospital,
was again at his fair, wielding his shelala in defence of his friends.
Others, of milder mood, and especially some of the women patients from
the country, felt themselves suddenly transported from the great city
and the crowded hospital-ward to their old quiet home in the distant
village, happy once more with their mothers and brothers and sisters.
As with the dying gladiator of the poet, the thoughts of these poor
people--
"Were with the heart, and that was far away."
Public-domain text, read in full here on John Shaqi.
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