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
himself. Hearing a noise, he turned round and saw Dr. Duncan beneath
a chair, quite unconscious, and snoring in a most determined manner.
More noise still and much motion. And then his eyes overtook Dr.
Keith's feet and legs making valorous attempts to overturn the supper
table. By and by Dr. Simpson having regained his seat, Dr. Duncan
having finished his uncomfortable and unrefreshing slumber, Dr. Keith
having come to an arrangement with the table and its contents, the
_sederunt_ was resumed. Each expressed himself delighted with
this new agent, and its inhalation was repeated many times that
night. Miss Petrie, a niece of Mrs. Simpson, gallantly took her place
and turn at the table, and fell asleep, crying: 'I'm an angel! Oh,
I'm an angel!'"--Quoted from "The Life of Sir James Young Simpson,"
by H. Laing Gordon; Masters of Medicine Series.]
The introduction of chloroform met with violent opposition, not upon
medical grounds alone, but also for moral and religious reasons. "To
check the sensation of pain in connection with the visitations of
God," zealous theologians announced, "was to contravene the decrees
of an all-wise Creator." Simpson reminded them "that the Creator,
during the process of extracting the rib from Adam, must necessarily
have adopted a somewhat similar artifice--for did not God throw Adam
in a deep sleep?" Nevertheless, a number of years passed before the
prejudice against artificial sleep was overcome. Chloroform only
became popular after Queen Victoria consented to its use at the birth
of her seventh child, Prince Leopold, in 1853.
There is still some difference of opinion regarding the routine
employment of chloroform in obstetrical practice, though the weight
of authority favors its use during the contractions at the end of the
second stage, providing always that no preexisting organic
derangement renders the drug dangerous. Under no circumstances,
however, should chloroform be given in the first stage, and seldom at
the beginning of the second. Prolonged administration will exert an
injurious influence upon both mother and child; under these
conditions it ultimately weakens the uterine contractions and delays
the delivery. Such an effect must be avoided, since it would endanger
the life of the child by asphyxiation as well as exhaust the mother.
On the other hand, a few drops of chloroform inhaled with each pain
toward the end of the second stage will dull sensibility, although
consciousness remains unaffected. When the drug is thus administered,
the uterine contractions are scarcely, if at all, altered, and the
assistance which the patient is willing to give herself generally
becomes more powerful. Should the anesthetic have the opposite
effect, it must be withheld; but that is seldom necessary. As the
head advances the anesthesia is deepened, and the mother sleeps
soundly while the child is being born.
Public-domain text, read in full here on John Shaqi.
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