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Updated: June 18, 2025
Let me begin by throwing out certain incidental questions, which, without being absolutely essential, would render the subject more complicated, and by making such concessions and assumptions as may be fairly supposed to be without the pale of discussion. It is granted that all the forms of what is called puerperal fever may not be, and probably are not, equally contagious or infectious.
I had a vision of the poor lady going in to her niece, and suddenly collapsing. Then there would begin a cross-examination, and Sylvia would worm out the truth, and we might have a case of puerperal fever on our hands. This I explained afresh to Mrs. Tuis, having taken her into her own room and closed the door for that purpose. She clutched me with her shaking hands and whispered, "Oh, Mrs.
"Intense pain, rigors, hurried respiration and pulse up to a hundred and twenty. It looks like a case of puerperal peritonitis." Dr. Hillhouse started from the table; the trouble on his face grew deeper. "You had better see her with as little delay as possible," said Dr. Angier. "Did you make any new prescription?" "No." Dr. Hillhouse shut his lips tightly and knit his brows.
Omitting particulars, then, I content myself with remarking, generally, that from more than one district I have received accounts of the prevalence of puerperal fever in the practice of some individuals, while its occurrence in that of others, in the same neighborhood, was not observed.
I have had the chances calculated by a competent person, that a given practitioner, A., shall have sixteen fatal cases in a month, on the following data: A. to average attendance upon two hundred and fifty births in a year; three deaths in one thousand births to be assumed as the average from puerperal fever; no epidemic to be at the time prevailing.
Singular, communed the guest with himself, the wonderfully unequal faculty of metempsychosis possessed by them, that the puerperal dormitory and the dissecting theatre should be the seminaries of such frivolity, that the mere acquisition of academic titles should suffice to transform in a pinch of time these votaries of levity into exemplary practitioners of an art which most men anywise eminent have esteemed the noblest.
The same evening he attended a woman in labor without previously changing his clothes; this patient died. The next morning he delivered a woman with the forceps; she died also, and of many others who were seized with the disease within a few weeks, three shared the same fate in succession. In June, 1823, he assisted some of his pupils at the autopsy of a case of puerperal fever.
Merriman related an instance occurring in his own practice, which excites a reasonable suspicion that two lives were sacrificed to a still less dangerous experiment. He was at the examination of a case of puerperal fever at two o'clock in the afternoon. The next morning she had severe rigors, and in forty-eight hours she was a corpse.
Some additional statements in this letter are deserving of insertion. "A physician attended a woman in the immediate neighborhood of the cases numbered 2, 3, and 4. This patient was confined the morning of March 1st, and died on the night of March 7th. It is doubtful whether this should be considered a case of puerperal fever.
A general practitioner, in large midwifery practice, lost so many patients from puerperal fever that he determined to deliver no more for some time, but that his partner should attend in his place. This plan was pursued for one month, during which not a case of the disease occurred in their practice.
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