The lectures are delivered Prof. Spaeth, in the same amphitheatre as those the male students, but, course, at a difierent hour. The method Of practical instruction arranged in the following manner Eight days every month, ing their term instruction, these women are obliged remain day and night in the Now I believe the num'xir has been increased hospital.
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During the eight days the first month, they simply observe the manner delivery and the general treatment the patients, assisting the regular midwives in any way that they may direct the second month, they are obliged deliver, under the direction the over-midwife, those patients who have previously had children and the third month they commence deliver the primiparae.
After this, they deliver a patient or not as they please, since not compulsory for them Their examination at the termination the nine months course study, consists simply a few practical questions, and a written essay, descriptive some case that The appointment the midwives the hospital made the professors, who merely require that the applicants should come well recommended. There are eight these midwives in each clinic, who are divided into groups four each, relieving each other in attendance every twenty-four hours.
Of these groups, each midwife serves in turn as journalist, whose duty examine each patient as she enters the lying-in room delivered, in order see how far labor has progressed keep a general supervision over each patient, and summon the midwife who take charge the case, when with primiparaB the head the child has rotated, and in other cases when the waters have come away.
She must also see that the journal properly kept, and in the absence the student journalists, make the entries herself.
The midwives deliver all the natural cases which the praktikanters not wish and are obliged summoa these latter at night from the chamber provided for their accommodation, whenever necessary or whenever anything interest transpires. They not live in the hospital, but during their hours duty remain day and night in the lying-in rooms, sleeping in the smaller one Ihe two, unless the large one overfull, when they are obliged give the other for the accommodation the patients.
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Every morning at T o'clock they come the Hospital bathe the children, small wooden tubs being provided for the purpose, which are inconvenient in the extreme, though necessitated account their cheapness. Of outside practice they have but little, since a strong prejudice exists in the community against them, account their connection with a hospital, the great fear being that they may transfer some infection their private patients.
These women, as a class, are well versed in their profession, and those employed in the Hospital phd thesis search certainly contribute greatly the instruction students, but that they could take the entire management the wards an idea not for a moment entertained, account their lack judgment, which particularly noticeable at the time their monthly periods.
Apart from the rules regulating the heat and ventilation the wards, there are but few sanitary laws existing, with the except tion the general one cleanliness, which strictly observed in all its details.
There one rule, however, which, though an excellent one, but seldom carried out.
It the one obliging all those who have examined any patient with a doubtful vaginal discharge best college paper writing service wash his hands immediately afterwards in a solution composed and remove the stains potash in a solution This regulation, however, together with the one forbidding the students come directly from the autopsy or dissecting rooms into the wards, more honored in the do my paper for money breach Before passing a description the remaining division the obstetrical need help writing a persuasive essay department, may interesting nursing assignment writing service consider what difference in practice exists between this school and our own. In the first place, swathes are never used after delivery either in the Hospital or in private practice, excepting when, in the latter case, the patients particularly desire them the forceps are employed much more frequently than with in cases too where there no real necessity ergot never used, except in post-partum hsBmorrhages, as its use before birth deemed extremely dangerous the life the child and, finally. Dr. Thomas's theory with regard a prolapse the cord, and his treatment edit essay therefor the placing the patient her hands and knees, are entirely repudiated, the reposition being effected here fastening the cord the end a flexible catheter with a piece tape, and then introducing the whole into the cavity the uterus, where they remain until expelled with the child. The second division the department midwifery in a separate building, situated a short distance from the General Hospital, and under the direction Dr. Bernhard V. Pachner, assisted Dr. Haas. It cheapest custom research papers a private institution the extent that students cannot visit though neither in this nor in the other division are there any private rooms. Different charges are made its inmates, who are ranked either as first, second or third class patients, according their ability pay.
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