A Practical Treatise on Midwifery: Containing the Results of Sixteen Thousand, Six Hundred and Fifty-four Births, Occurring in the Dublin Lying-in Hospital, During a Period of Seven Years, Commencing November, 1826

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W.D. Ticknor, 1841 - Childbirth - 320 pages

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Page 18 - Let it be carefully recollected at the same time, that so long as the head advances EVER so SLOWLY, the patient's pulse continues good, the abdomen free from pain on pressure, and no obstruction to the removal of urine, interference should not be attempted, unless the child be dead.
Page 17 - I have no difficulty in stating, and that after the most anxious and minute attention to this point, that where the patient has been properly treated from the commencement of her labour...
Page 235 - I am satisfied, however, that, in hospital, the immediate application of three or four dozen leeches, followed by the warm bath, in which the patient should remain as long as her strength will bear it, will be found in the great majority the most judicious means of removing blood."* After full depletion, the next most powerful remedy is mercury, alone or in combination with opium.
Page 18 - of no case where the advantage derived from the use of the stethoscope is more fully demonstrated than in the information it enables us to arrive at with regard to the life or death of the foetus, in the progress of tedious and difficult labours. It is, in my opinion, one of the greatest improvements made in the practice of midwifery."1 The whole evidence of Dr. Collins...
Page 231 - Clarke observed that previous to puerperal fever becoming epidemic in the hospital, patients recovered more slowly ; or, to use the language of the nurses, it was much more difficult to get them out of bed than usual.
Page 233 - All the beds in the Hospital are composed of straw, nor is any one used more than a second time without the cover having been washed and the straw renewed. In every instance where the patient dies, this is at once done, and should the most remote symptom of fever have been present, every article connected with the bedding is instantly scoured and stoved; the wood-work and floor washed with the chloride of lime solution, and the entire ward whitewashed.
Page 14 - According to this calculation, most physicians in private practice would require to use them but seldom, as, supposing an individual to attend 4,000 cases in the 'course of his life, which is a greater number than falls to the lot of most men, the forceps or lever would be necessary in little more than six cases.
Page 64 - About an hour and a half after, suddenly, the most profuse haemorrhage set in, so much so, that in two or three minutes, the blood was running in every direction over the edge of the bed ; this was consequent on some slight uterine action. There being no chance of life without speedy delivery, we determined to make the attempt, though the parts were badly prepared ; accordingly, the hand was very slowly and cautiously introduced, and the feet brought down with little exertion ; the uterus acted strongly,...
Page 128 - Herrirnau, 37 recovered ; and of 30 reported by Dr. Collins, only 5 died. Of the latter, three of the fatal cases were complicated with laceration of the vagina, one with twins and one with peritonitis. Braun is of the opinion that 30 per-cent. have proved fatal to the mother. These tables display varied results and are defective for the reason that no distinction is made between the several forms and complications of the convulsions incident to parturition. The relative mortality which...
Page 32 - It is very desirable," he observes, " the child should be delivered in this position (viz. the back of the child towards the mother's abdomen), as it renders the getting away of the head much less difficult ; yet where there has been no interference by the attendant in the previous part of the labour, he will rarely find it necessary to alter subsequently the child's position, the breech naturally making the turn above alluded to in its passage.

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