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Updated: May 26, 2025
There can be no exaggeration in the claim that the instrument has done more to save human life than any other surgical appliance. The obstetrical forceps have been of such great service in diminishing the number of still-born infants that they were once called the child's instrument.
Although most obstetrical patients appreciate the fact that there is an advantage in sterilized dressings and sanitary surroundings, few realize the risk they run without them.
"Some of the year's statistics are a revelation as to the work done: Dispensary treatments, indoor, 12,522; outdoor, 1536; new patients, 4649; operations, 329; obstetrical cases, 151; calls made by nurses, 3075. "She was an epileptic. The sadness that is bound up in the word only those who have experienced it can know. She worked with her needle as long as she could.
An utter disregard of precaution has given way to very careful preparations before and at the time of labor; definite rules for the management of the lying-in period are carried out under the supervision of the physician; and finally, prompted by the same impulse, the physician examines his obstetrical patients before discharging them.
Clearly the instrument had been in use for some generations prior to Hugh Chamberlen, who translated from French into English the foremost obstetrical textbook of his time. It is not questioned that the forceps was the secret that his ancestors and he himself employed so long and so profitably.
Moreover, his interest and his power of insight led to further comparison. Clearly, the open wound on the physician's finger had been the portal through which the poison entered; but where was there a similar portal in obstetrical patients? The answer was plain. The birth-canal at the time of delivery is always an open wound. There the poison entered, and child-bed fever was a wound infection!
Events had no right to be born throughout his dominions, without a preparatory course of his obstetrical pedantry. He could never learn that the earth would not rest on its axis, while he wrote a programme of the way it was to turn. He was slow in deciding, slower in communicating his decisions. He was prolix with his pen, not from affluence, but from paucity of ideas.
Women vary so much, it is hard to give an exact measure in inches, but you might begin with a bandage fifty inches long, and if the ends are too long, cut them off, and turn in the edges of the cloth and overhand it neatly. Obstetrical binders, or bandages are now seldom put on a parturient woman, but in case they are to be used, I give the best kind I know of.
Obstetrical leggins are preferably made of canton flannel; they are cut to fit loosely and should reach the hip. If they are prepared so as to extend to the waist at the sides, they may be held in place by a waistband, and in this way will prevent unnecessary exposure without interfering with the doctor. They should be sterilized. Towels, if used at all, should be without fringe.
Primary union of the small surgical wound of the skin and fascia occurs in forty-eight hours. The reader is referred to William's "Veterinary Surgical and Obstetrical Operations," for a complete description of this operation. This affection is briefly described by Cadiot but no complete treatise on this condition has been published.
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