In the second clinic, women who were delivered, nineteen per cent, died, or fourteen per cent, in the clinic itself, and five per cent, in the general wards, after their transfer. During this period, the attending physicians i need help writing a thesis paper made no post-mortem examinations, nor once visited the dissecting-room. In December, a few priaktikanters, only were permitted come into the wards examinations the patients were very sparingly made, and the potash solution most conscientiously used for washing the During this month, seven per cent, the patients in the first clinic died, and six per cent, those transferred from the general wards or a total thirteen per In January, the mortality in both clinics remained quite large, but after this month, the death-rate began gradually In reviewing the history college essay editing services this epidemic, Prof. Braun arrives at the following conclusions Practical instruction, during the month November, at least, could not have contributed the unfavorable condition the wards, since, during this period, no student was allowed make any examination.
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Chemical disinfectants afforded no certain protection against the spread the disease, the mortaUty remaining very large during the months in which they were The wards, designed for the instruction the students, were not more heavily visited than those in which none but the No cause whatsoever could assigned for the great prevalence the disease, though many facts prove that influ ences at work outside the lying-in hospital were help me write my thesis also effective within its walls in Of those patients in the first clinic, who died puerperal fever, during the month November, thirty-eight per cent, were attacked during pregnancy, and forty-one per cent, were delivered prematurely, nearly all having been but one day in the hospital before their confinement.
fatal cases, occurring during the months October, November and December, after buy college paper online the patients attacked had been removed from the first clinic the general wards the hospital, write my paper for me fast sixty-five per cent, had remained but one day before delivery in the lying-in wards eight per cent, one week, and thirteen per cent, from two six weeks. A longer stay in the obstetrical department seemed not Febris ante Partum occurred, in the above mentioned months, in four per cent, those delivered, in twenty-three per cent, those attacked with puerperal fever, and in more than twenty-per cent, those who died.
So that in one in every five those who died, and one in every four those who contracted pueiperal fever, fever set The great cause the present healthy condition the wards due the excellent system ventilation which was introduced into the hospital during the summer. Of its efiBciency, the following statistics will convey an adequate idea From the beginning the year the end other causes a total.
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So that since the wards have been thoroughly ventilated, there has been a mortality in them out every one thousand lefes than in the period, out every thousand less than in the period October, and this too notwithstanding that the number students practising has if anything increased.
In general, tbe highest rate mortality in the obstetrical wards, has been found occur in those years in which epidemics, such as cholera, smallpox, prevail in the city, and in those months in which the greatest number patients are admitted into the whole hospital that the moi tality follows the rise and fall disease In reviewing the whole system master thesis writing help European Obstetrics, cannot Tielp. being struck with the great difference that exists between this system and that which employed in our own country. The difference lies almost wholly, in the fact, that in America there are in general lying-in hospitals such as are found in all the chief cities Without entering upon a consideration all the advantages derived from the establishment such institutions in our own country, I cannot refrain, before closing this article, from drawing attention what has undoubtedly suggested itself the minds many european physicians, the great want practical instruction in our present system obstetrical education, which the creation lying-in hospitals could certainly supply.
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In no country, pretending give a good medical education, the study obstetr rics loosely and imperfectly pursued cheap essay services as in our own. An european medical student, after three years nominal study, presents himself for examination, and after answering a few general questions, which might expect any school-boy, with a good memory, able answer, sent out practise, with a guarantee in the form a diploma that, among other qualifications, fitted attend all cases obstetrics. But what the truth? The newly created medical man summoned attend a woman in her confinement, whom goes without, perhaps, ever having seen a woman in labor, and, for this rear son, without having a very clear idea what even in a normal case, much less in the event a complication arising.
Arriving at his patient's house, brought into the presence much suffering that must, indeed, gifted with an extraordinary amount self-reliance if does not feel that this previous lack practical instruction has rendered almost culpable in him undertake the responsibilities the case.
If the case presents any abnormal features, obliged, in many instances, send for an older physician, who has undoubtedly gone through the same experiences as himself. thus caasmg a delay which may prove injurious both the mother and the child. Whatever may the character the birth, veiy fortunate for him that Nature, who always the best accoucheur, does not depend entirely the present system obstetrical education bring about a successful delivery, otherwise, not only but also many an older obstetrician would have reflect that they had caused a great amount unnecessary suffering, or may the actual death their patients. As I have no doubt that not a few women bear with them, through life, some painful affection the result too much theory and too little practice. In all other branches our profession receive both a theoretical and a practical education, and there no reason why similar advantages should not extended in obstetrics, in which branch know actually less when graduate than a German midwife, who obliged before she commences practise have delivered a certain number patients. We, the contrary, may deem ourselves extremely fortunate when enter upon the duties our profession, have previously, as students, attended a single woman in her confinement. It would indeed considered highly presumptuous if a medical man were undertake a surgical operation without at least having seen one performed, or attend a case fever without some previous clinical knowledge the disease. And yet in obstetrics are expected, without any practical experience, meet all the emergencies which may arise in our.
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