Publisher's Synopsis
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1915 edition. Excerpt: ... CHAPTER VII One Hundred Consecutive Cases Of Twilight Sleep At The Mary Thompson Hospital, June 1 To December 1, 1914 BEGAN using scopolamine in obstetrics about eight years ago, but gave it up after a short experience. This early experience demonstrated to my satisfaction that scopolamine-morphine shortened the first stage of labor. I gave at that time 1/100 grain of scopolamine and *4 grain of morphine as the initial dose and expected to repeat it in four hours unless the cervix was completely dilated. The injection was never given until the pains were strong and regular, and my experience was that at the end of two or three hours after the injection the cervix was completely dilated. I feared at this time to repeat the dose, so the labor was completed by using a little chloroform for the delivery of the head. This large dose of morphine was occasionally given so close to the beginning of the second stage that I feared that the infants would be asphyxiated on account of it. In no case could I have stated positively that it had caused asphyxia, but on theoretical grounds alone I gave up its use altogether in obstetrics. Then, too, my obstetrical work was largely made up of Cesarean sections, forcep deliveries, eclampsias and abnormalities, cases where the life of the child is always in jeopardy, and I feared that scopolamine-morphine used in such cases would be unjustly blamed for any accident that might occur. the vagina. Eighty per cent of the patients lost so little blood that it was not possible to estimate it. The uteri contracted immediately after delivery and showed little tendency to relax. In 1909 I met Professor Gauss at the Sixteenth International Congress of Medicine, Budapest, and he urged me to try scopolamine in my...