The Dublin practice of midwifery / by Henry Maunsell.

  • Henry Maunsell
Date:
1856
Catalogue details

Licence: Public Domain Mark

Credit: The Dublin practice of midwifery / by Henry Maunsell. Source: Wellcome Collection.

    278/328 page 262
    immediately sinks to the bottom; but, if impure, the globules assume a milky appearance, instead of remaining clear and bright. The time at ichicJi to commence the use of chloroform in labour will depend upon the object aimed at by the attendant. If he is disposed to use it, as some do, only in cases requiring dehvery by operation, of course the time will be regulated by that at which he feels himself called on to interfere with mechanical aid: but if he is inclined to employ this agent as a means of alleviating the pains of child-birth in ordinary cases, he must have some other rule to guide him. He should first decide whether the case is one in which he may safely make use of the drug; and it will be found that the cases forbidding it are very few indeed. With the exception of persons aflPected with disease of the heart, or brain, all others may be cautiously tested with chloroform, and when they are found to bear it well it may be persevered with. The time at which the trial is to begin mil vary in different labours; no time can be fixed to suit all; but it may be taken as a guide, that as the chloroform is employed to assuage pain, when that becomes urgent in any given case that is the time to commence the inhalation of the anaesthetic. In the majority of cases this will be found to be about the time of the dilatation of the OS uteri, but in some first cases, when the os uteri
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