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room。Thesameeveningheattendedawomaninlaborwithoutpreviouslychanginghisclothes;thispatientdied。Thenextmorninghedeliveredawomanwiththeforceps;shediedalso,andofmanyotherswhowereseizedwiththediseasewithinafewweeks,threesharedthesamefateinsuccession。
InJune,1823,heassistedsomeofhispupilsattheautopsyofacaseofpuerperalfever。Hewasunabletowashhishandswithpropercare,forwantofthenecessaryaccommodations。Ongettinghomehefoundthattwopatientsrequiredhisassistance。Hewentwithoutfurtherablution,orchanginghisclothes;boththesepatientsdiedwithpuerperalfever。ThissameDr。CampbellisoneofDr。
Churchill’sauthoritiesagainstcontagion。
Mr。Robertonsaysthatinoneinstancewithinhisknowledgeapractitionerpassedthecatheterforapatientwithpuerperalfeverlateintheevening;thesamenightheattendedaladywhohadthesymptomsofthediseaseonthesecondday。Inanotherinstanceasurgeonwascalledwhileintheactofinspectingthebodyofawomanwhohaddiedofthisfever,toattendalabor;withinforty-eighthoursthispatientwasseizedwiththefever。’
Onthe16thofMarch,1831,amedicalpractitionerexaminedthebodyofawomanwhohaddiedafewdaysafterdelivery,frompuerperalperitonitis。Ontheeveningofthe17thhedeliveredapatient,whowasseizedwithpuerperalfeveronthe19th,anddiedonthe24th。
Betweenthisperiodandthe6thofApril,thesamepractitionerattendedtwootherpatients,bothofwhomwereattackedwiththesamediseaseanddied。
Intheautumnof1829aphysicianwaspresentattheexaminationofacaseofpuerperalfever,dissectedouttheorgans,andassistedinsewingupthebody。Hehadscarcelyreachedhomewhenhewassummonedtoattendayoungladyinlabor。Insixteenhoursshewasattackedwiththesymptomsofpuerperalfever,andnarrowlyescapedwithherlife。
InDecember,1830,amidwife,whohadattendedtwofatalcasesofpuerperalfeverattheBritishLying-inHospital,examinedapatientwhohadjustbeenadmitted,toascertainiflaborhadcommenced。
Thispatientremainedtwodaysintheexpectationthatlaborwouldcomeon,whenshereturnedhomeandwasthensuddenlytakeninlaboranddeliveredbeforeshecouldsetoutforthehospital。Shewentonfavorablyfortwodays,andwasthentakenwithpuerperalfeveranddiedinthirty-sixhours。
“Ayoungpractitioner,contrarytoadvice,examinedthebodyofapatientwhohaddiedfrompuerperalfever;therewasnoepidemicatthetime;thecaseappearedtobepurelysporadic。Hedeliveredthreeotherwomenshortlyafterwards;theyalldiedwithpuerperalfever,thesymptomsofwhichbrokeoutverysoonafterlabor。Thepatientsofhiscolleaguedidwell,exceptone,whereheassistedtoremovesomecoagulafromtheuterus;shewasattackedinthesamemannerasthosewhomhehadattended,anddiedalso。“Thewriterinthe“BritishandForeignMedicalReview,“fromwhomIquotethisstatement,——andwhoisnootherthanDr。Rigby,adds,“Wetrustthatthisfactalonewillforeversilencesuchdoubts,andstampthewell-
meritedepithetof’criminal,’asabovequoted,uponsuchattempts。“
[Brit。andFor。MedicalReviewforJan。1842,p。112。]
>FromthecasesgivenbyMr。Ingleby,Iselectthefollowing。Twogentlemen,afterhavingbeenengagedinconductingthepost-mortemexaminationofacaseofpuerperalfever,wentinthesamedress,eachrespectively,toacaseofmidwifery。“Theonepatientwasseizedwiththerigoraboutthirtyhoursafterwards。Theotherpatientwasseizedwitharigorthethirdmorningafterdelivery。
Onerecovered,onedied。“[Edin。Med。andSurg。Journal,April,1838。]
Oneofthesesamegentlemenattendedanotherwomaninthesameclothestwodaysaftertheautopsyreferredto。“Therigordidnottakeplaceuntiltheeveningofthefifthdayfromthefirstvisit。
Resultfatal。“Thesecasesbelongedtoaseriesofseven,thefirstofwhichwasthoughttohaveoriginatedinacaseoferysipelas。
“Severalcasesofamildcharacterfollowedtheforegoingseven,andtheirnaturebeingnowmostunequivocal,myfrienddeclinedvisitingallmidwiferycasesforatime,andtherewasnorecurrenceofthedisease。“Thesecasesoccurredin1833。Fiveofthemprovedfatal。
Mr。Inglebygivesanotherseriesofseveneaseswhichoccurredtoapractitionerin1836,thefirstofwhichwasalsoattributedtohishavingopenedsev
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