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It is not enough that a practitioner should have had a single case of puerperal fever not followed by others. It must be known whether he attended others while this case was in progress, whether he went directly from one chamber to others, whether he took any, and what precautions.
A physician, who met him in consultation soon afterwards, about a case of a different kind, and who knew nothing of his misfortune, asked him whether puerperal fever was at all prevalent in his neighborhood, on which he burst into tears, and related the above circumstances. Med. Gaz. Dr.
At a somewhat uncertain period before she calves, there will be a new secretion of milk for the expected little one; and under the notion of somewhat recruiting her strength, in order better to enable her to discharge her new duty but more from the uniform testimony of experience that there is danger of local inflammation, general fever, garget in the udder, and puerperal fever, if the new milk descends while the old milk continues to flow it has been usual to let the cow go dry for some period before parturition.
There is no doubt that small-pox is propagated to a great extent by contagion, yet it goes through the same periods of periodical increase and diminution which have been remarked in puerperal fever.
July 1st, I attended a lady in labor, who was afterwards quite ill and feverish; but at the time I did not consider her case a decided puerperal fever. On the 8th, I attended one who did well. On the 12th, one who was seriously sick. This was also an equivocal case, apparently arising from constipation and irritation of the rectum. These women were ten miles apart and five from my residence.
Gooch says, "It is not uncommon for the greater number of cases to occur in the practice of one man, whilst the other practitioners of the neighborhood, who are not more skilful or more busy, meet with few or none. A practitioner opened the body of a woman who had died of puerperal fever, and continued to wear the same clothes.
There were some indications of excitement about her, though whether from mental or physical causes I could not tell, but nothing to awaken concern. This morning I found her in a most critical condition. Puerperal fever had set in, with evident extensive peritoneal involvement. The case was malignant, all the abdominal viscera being more or less affected. I learned from the nurse that Mr.
In the last edition of Dewees's Treatise on the "Diseases of Females," it is expressly said, "In this country, under no circumstance that puerperal fever has appeared hitherto, does it afford the slightest ground for the belief that it is contagious."
It is true that some of the historians of the disease, especially Hulme, Hull, and Leake, in England; Tonnelle, Duges, and Baudelocque, in France, profess not to have found puerperal fever contagious.
"In the winter of 1817 two of my patients had puerperal fever, one very badly, the other not so badly. Both recovered. One other had swelled leg, or phlegmasia dolens, and one or two others did not recover as well as usual. "In the summer of 1835 another disastrous period occurred in my practice.
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