下载辰思小说免费APP
“ItistotheBritishpractitioner，“saysDr。Rigby，“thatweareindebtedforstronglyinsistinguponthisimportantanddangerouscharacterofpuerperalfever。“
ThenamesofGordon，JohnClarke，Denman，Burns，Young，Hamilton，Haighton，Good，Waller；Blundell，Gooch，Ramsbotham，Douglas，Lee，Ingleby，Locock，Abercrombie，Alison；Travers，Rigby，andWatson，manyofwhosewritingsIhavealreadyreferredto，mayhavesomeinfluencewiththosewhoprefertheweightofauthoritiestothesimpledeductionsoftheirownreasonfromthefactslaidbeforethem。AfewContinentalwritershaveadoptedsimilarconclusions。Itgivesmepleasuretoremember，thatwhilethedoctrinehasbeenunceremoniouslydiscreditedinoneoftheleadingJournals，andmadeverylightofbyteachersintwooftheprincipalMedicalSchools，ofthiscountry，Dr。Channinghasformanyyearsinculcated，andenforcedbyexamples，thedangertobeapprehendedandtheprecautionstobetakeninthediseaseunderconsideration。
Ihavenowishtoexpressanyharshfeelingwithregardtothepainfulsubjectwhichhascomebeforeus。Ifthereareanysofarexcitedbythestoryofthesedreadfuleventsthattheyaskforsomewordofindignantremonstrancetoshowthatsciencedoesnotturntheheartsofitsfollowersintoiceorstone，letmeremindthemthatsuchwordshavebeenutteredbythosewhospeakwithanauthorityI
couldnotclaim。ItisasalessonratherthanasareproachthatI
callupthememoryoftheseirreparableerrorsandwrongs。Notonguecantelltheheart-breakingcalamitytheyhavecaused；theyhaveclosedtheeyesjustopeneduponanewworldofloveandhappiness；
theyhavebowedthestrengthofmanhoodintothedust；theyhavecastthehelplessnessofinfancyintothestranger’sarms，orbequeathedit，withlesscruelty，thedeathofitsdyingparent。Thereisnotonedeepenoughforregret，andnovoiceloudenoughforwarning。
Thewomanabouttobecomeamother，orwithhernew-borninfantuponherbosom，shouldbetheobjectoftremblingcareandsympathywherevershebearshertenderburden，orstretchesherachinglimbs。
Theveryoutcastofthestreetshaspityuponhersisterindegradation，whenthesealofpromisedmaternityisimpresseduponher。Theremorselessvengeanceofthelaw，broughtdownuponitsvictimbyamachineryassureasdestiny，isarrestedinitsfallatawordwhichrevealshertransientclaimformercy。Thesolemnprayeroftheliturgysinglesouthersorrowsfromthemultipliedtrialsoflife，topleadforherinthehourofperil。Godforbidthatanymemberoftheprofessiontowhichshetrustsherlife，doublypreciousatthateventfulperiod，shouldhazarditnegligently，unadvisedly，orselfishly！
TheremaybesomeamongthosewhomIaddresswhoaredisposedtoaskthequestion，Whatcoursearewetofollowinrelationtothismatter？Thefactsarebeforethem，andtheanswermustbelefttotheirownjudgmentandconscience。Ifanyshouldcaretoknowmyownconclusions，theyarethefollowing；andintakingthelibertytostatethemveryfreelyandbroadly，Iwouldasktheinquirertoexaminethemasfreelyinthelightoftheevidencewhichhasbeenlaidbeforehim。
1。Aphysicianholdinghimselfinreadinesstoattendcasesofmidwiferyshouldnevertakeanyactivepartinthepost-mortemexaminationofcasesofpuerperalfever。
2。Ifaphysicianispresentatsuchautopsies，heshouldusethoroughablution，changeeveryarticleofdress，andallowtwenty-
fourhoursormoretoelapsebeforeattendingtoanycaseofmidwifery。Itmaybewelltoextendthesamecautiontocasesofsimpleperitonitis。
3。Similarprecautionsshouldbetakenaftertheautopsyorsurgicaltreatmentofcasesoferysipelas，ifthephysicianisobligedtounitesuchofficeswithhisobstetricalduties，whichisinthehighestdegreeinexpedient。
4。Ontheoccurrenceofasinglecaseofpuerperalfeverinhispractice，thephysicianisboundtoconsiderthenextfemaleheattendsinlabor，unlesssomeweeksatleasthaveelapsed，asindangerofbeinginfectedbyhim，anditishisdutytotakeeveryprecautiontodiminishherriskofdiseaseanddeath。
5。Ifwithinashortperiodtwocasesofpuerperalfeverhappenclosetoeachother，inthepracticeofthesamephysician，thediseasenotexistingorprevailingintheneighborhood，hewoulddowiselytorelinquishhisobstetricalpracticeforatleastonemonth，andendeavortofreehimselfbyeve
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