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
CASE 7.--A third labor; the patient had been twice before confined of
dead premature children; once of twins, under the care of Mr. Stone,
of London; the second time of a single child under my charge. The
liquor amnii began to escape about one o'clock, A.M., but without
pains for some time. I saw her between three and four o'clock, with
the pains commencing and the os uteri beginning to dilate. In two
hours afterwards, the third stage was well advanced, and the pains
becoming very severe, she had the chloroform exhibited to her, and
slept soundly under its influence. In twenty minutes the child was
born and cried very loudly without rousing the mother. In about twelve
or fifteen minutes more she awoke as the application of the binder was
going on, and immediately demanded if her child was really born alive,
as she thought she had some recollection of hearing the nurse say
so. She was rejoiced beyond measure on her son being brought in and
presented to her.
CASE 9.--In the Maternity Hospital; first child. Labor began at 10
P.M., (Nov. 21st.) I was desired to see her at six A.M., (22nd.)
The os uteri was well dilated, but it was evident that the pelvic
canal was contracted throughout, and the head was passing with unusual
difficulty through the brim. The patient was complaining much of
her sufferings. It was evident that it would be a very tedious, and
probably, at last, an instrumental case, and one therefore calculated
to test the length of time during which chloroform might be used.
She began to inhale it at a quarter past six, A.M., and was kept
under its influence till a quarter past seven, P.M.,--the date of her
delivery--_thirteen hours_ in all. From the time it was begun till
the time delivery was completed, her cries and complaints ceased,
and she slept on soundly throughout the day. The bladder required to
be emptied several times with the catheter. The head passed the os
uteri at ten A.M., and during the day, gradually descended through the
pelvis. At seven P.M., I at last deemed it proper to deliver her by
the forceps; the head, which was now elongated and œdematous, having
by that time rested for some hours against the contracted pelvic
outlet, with little or no evidence of advancement; the bones of the
fœtal cranium overlapping each other, and the fœtal heart becoming
less strong and distinct in its pulsations. A warm bath, irritation of
the chest, &c., were necessary to excite full and perfect respiration
in the infant. Whilst we were all busied with the infant, the mother
lost some blood, but the placenta was immediately removed, and the
uterus contracted perfectly. On afterwards measuring the quantity of
blood lost, it was calculated to amount to fifteen or eighteen ounces.
The mother's clothes were changed, she was bound up, and removed to a
dry bed before she awoke. She had at first no idea that the child was
born, and was in no respect conscious of being delivered. In fact, she
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