The Prospective Mother, a Handbook for Women During PregnancySlemons, J. Morris (Josiah Morris)
Science
The Prospective Mother, a Handbook for Women During Pregnancy
Slemons, J. Morris (Josiah Morris)
Obstetrics; Pregnancy
THE STAGE OF EXPULSION.--The term delivery has been broadly applied
to include the whole of labor. More strictly, its use should be
limited to the second stage, for this period alone is concerned with
the actual birth of the child. Although dilatation has been
completed, the uterine contractions continue, devoting their force to
emptying the womb. In this they now receive assistance from the
voluntary contractions of the abdominal muscles.
The second stage is very much shorter than the first; for this reason
and others, too, it proves much less trying. As the child is moved
downward through the birth-canal, the mother usually appreciates for
herself that she is making headway; whereas in the first stage she
may know of progress only through what she is told. Moreover, it is
possible in this stage for the physician, by means of inhalations of
chloroform, to relieve her of the pain attending the expulsion of the
child.
Since the anesthetic properties of chloroform were discovered by an
obstetrician who was searching for a drug with which to lessen the
pain of childbirth, the facts connected with the discovery have a
peculiar interest for mothers. Sir James Y. Simpson had always been
anxious for some means to prevent the suffering endured during
surgical operations "without interfering with the free and healthy
play of the natural functions." He, therefore, welcomed the
introduction of ether anesthesia from America; and in January, 1847,
at the Edinburgh Medical School, administered ether to an obstetrical
patient. This was the first instance in which an anesthetic was
employed at the time of childbirth. Since ether, to his mind, had
certain shortcomings, Simpson set about finding another anesthetic,
and devoted all his spare time to testing the effect of numerous
drugs upon himself. How he came to try chloroform has been vividly
told by one of his neighbors. [Footnote: "Late one evening, it was
the 4th of November, 1847, Dr. Simpson, with his two friends and
assistants, Drs. Keith and Duncan, sat down to their somewhat
hazardous work in Dr. Simpson's dining room. Having inhaled several
substances, but without much effect, it occurred to Dr. Simpson to
try a ponderous material which he had formerly set aside on a lumber-
table, and which, on account of its great weight, he had hitherto
regarded as of no likelihood whatever; that happened to be a small
bottle of chloroform. It was searched for and recovered from beneath
a heap of waste paper. And with each tumbler newly changed, the
inhalers resumed their vocation. Immediately an unwonted hilarity
seized the party--they became bright-eyed, very happy, and very
loquacious--expatiating upon the delicious aroma of the new fluid.
But suddenly there was talk of sounds being heard like those of a
cotton mill, louder and louder; a moment more, and then all was
quiet--and then a crash! On awakening, Dr. Simpson's first perception
was mental--'This is far stronger and better than ether,' said he to
Public-domain text, read in full here on John Shaqi.
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