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
had been "sleeping," according to her own account, from the time she
had begun the inhalation, and thought she remembered or dreamed that
she heard Dr. Williamson, the house-surgeon, speak near her once or
twice. Dr. Beilby, Dr. Ziegler, &c., saw the case with me. Three days
afterwards I found the mother and child perfectly well. She continued
to recover so rapidly, that she insisted on leaving the hospital on
the tenth day after delivery.
A sufficient number of such accounts as these could be collected to
fill a large volume; but these are quite sufficient for our purpose.
In regard to the objections to using chloroform or ether, in midwifery,
it will be thought by most persons, and with good reason, too, that the
safety and success which has attended their use, is itself a sufficient
answer to all objections.
It was at first thought, by some physicians, that the expulsive force
of the womb was lessened when the pain was prevented; but this is not
the case; on the contrary, it has been, in many cases, much increased.
It was also thought by others that there was more danger from flooding,
and convulsions, than in ordinary cases; but this is also equally at
variance with truth, for it appears, beyond doubt, after a careful
examination of all the cases recorded, that there is much _less_
danger, particularly from convulsions, than when the patient is allowed
to be tortured and terrified by feeling pain. Dr. Simpson remarks in
another part of the article above quoted:--
The question which I have been repeatedly asked is this--Will we
ever be "justified" in using the vapor of ether to assuage the pains
of natural labor? Now, if experience betimes goes fully to prove to
us the safety with which ether may, under proper precautions and
management, be employed in the course of parturition, then, looking
to the facts of the case, and considering the actual amount of pain
usually endured, I believe that the question will require to be quite
changed in its character. For, instead of determining, in relation
to it, whether we shall be "justified" in using this agent under the
circumstances named, it will become, on the other hand, necessary to
determine whether, on any grounds, moral or medical, a professional
man could deem himself "justified" in withholding and _not_ using any
such safe means, (as we at present presuppose this to be,) provided he
had the power, by it, of assuaging the pains and anguish of the last
stage of natural labor, and thus counteracting what Velpeau describes
as "those piercing cries, that agitation so lively, those excessive
efforts, those inexpressible agonies, and those pains apparently
intolerable," which accompany the termination of natural parturition
in the human mother.
Public-domain text, read in full here on John Shaqi.
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