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
I have employed it in obstetric practice with entire success. The
lady to whom it was first exhibited during parturition, had been
previously delivered in the country by perforation of the head of the
infant, after a labor of three days' duration. In this, her second
confinement, pains supervened a fortnight before the full time.
Three hours and a half after they commenced, ere the dilatation of
the os uteri was completed, I placed her under the influence of the
chloroform, by moistening with half a teaspoonful of the liquid, a
pocket-handkerchief, rolled up in a funnel shape, and with the broad
or open end of the funnel placed over her mouth and nostrils. In
consequence of the operation of the fluid it was once more renewed in
about ten or twelve minutes. The child was expelled in twenty-five
minutes after the inhalation was begun. The mother subsequently
remained longer soporose than commonly happens after ether. The crying
of the child did not, as usual, rouse her; and some minutes elapsed
after the placenta was expelled, and after the child was removed by
the nurse into another room, before the patient awoke. She then turned
round and observed to me that she had "enjoyed a very comfortable
sleep, and, indeed, required it as she was so tired, but would
now be more able for the work before her." I evaded entering into
conversation with her, believing, as I have already stated, that the
most complete possible quietude forms one of the principal secrets for
the successful employment of either ether or chloroform. In a little
time, she again remarked, that she was afraid her "sleep had stopped
the pains." Shortly afterwards her infant was brought in by the nurse
from the adjoining room, and it was a matter of no small difficulty
to convince the astonished mother that the labor was entirely over,
and that the child presented to her was really her "own living baby."
Perhaps I may be excused for adding, that since publishing on the
subject of ether inhalation in midwifery, seven or eight months ago,
and then for the first time directing the attention of the profession
to its great use and importance in natural and morbid parturition,
I have employed it, with few and rare exceptions, in every case of
labor that I have attended, and with the most delightful results.
And I have no doubt whatever, that some years hence the practice
will be general. Obstetricians may oppose it, but I believe our
patients themselves will force the use of it upon the profession. I
have never had the pleasure of watching over a series of better and
more rapid recoveries, nor once witnessed any disagreeable result
follow to either mother or child, whilst I have often seen an immense
amount of maternal pain and agony saved by its employment. And I most
conscientiously believe that the proud mission of the physician is
distinctly twofold--namely, to alleviate human suffering, as well as
preserve human life.
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