Lectures on the Theory and Practice of Midwifery
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Produktbeschreibung
Excerpt from Lectures on the Theory and Practice of Midwifery: Delivered in the Theatre of St. George´s Hospital In other cases labour is rendered difficult and dangerous by the unfavourable position of the child within the uterus: instead of the head presenting, or coming foremost, an arm descends, and the body of the child is placed across the pelvis, so that the longer and more forcibly the uterus contracts upon it, the more firmly are the shoulder and thorax impacted in the pelvis, and the more difficult does the operation of turning become. The placenta, which usually adheres to the upper part of the uterus, is sometimes attached to the cervix or lower part, and then a dangerous flooding ensues, which nature has no power to arrest. The means she usually employs for the suppression of uterine hemorrhage, if exerted in this case, would only aggravate the evil; and if artificial delivery were not performed, death would inevitably follow. The same is the consequence when the placenta has been detached from the upper part of the uterus, and where hemorrhage follows the birth of the child; and not less destructive are the effects produced by the retention of the whole, or portions, of the after-birth in the uterus. There are many other varieties of difficult and complicated labour, in which the unaided powers of nature are insufficient for the completion of delivery, and where the most prompt and energetic and well-directed treatment is required to avert the danger. Even after the most easy and natural labours, when none of these accidents have occurred, and when all danger is apparently at an end, how often does inflammation of the uterus unexpectedly supervene, and run its course with a rapidity and violence equal to that of plague and cholera. That such occurrences are not uncommon, the Reports of public institutions in different countries afford too abundant proof. 219,333 women were delivered in the kingdom of Wurtemberg from the year 1821 to 1825, of whom there died 1248, or one in 175. At Hamburg, 5-57 women died in 1000 who have been pregnant or delivered. Of 448,356 females who died in the Prussian States, in the course of fifteen years, between the ages of fourteen and forty-five, 70,215, or nearly one-sixth, died either immediately in the act of delivery or in child-bed; and of 108 of the infants born, 1 in 108 cost the mother her life. In the mortality table for the city of New York for a period of thirty-two years, viz., from 1805 to 1836, both inclusive, it is stated that the births during this period ranged from 200,000 to 300,000; and that the whole number of deaths from child-bed were only 1038. In the Dublin Lying-in Hospital, from the 8th day of December, 1757, to the 31st day of December, 1832, there were 132,979 women delivered, of whom 1488 died. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
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