Amnesia and Analgesia in Parturition; (Twilight Sleep)
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Amnesia and Analgesia in Parturition; (Twilight Sleep)

Amnesia and Analgesia in Parturition; (Twilight Sleep)


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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1915. Excerpt: ... TWILIGHT SLEEP J HISTORY OF SCOPOLAMINE IN OBSTETRICS WITH A REVIEW OF SOME OF THE LITERATURE The first mention of the use of scopolamine and morphine in obstetrics appears in an article by von Steinbuchel in the Centralblatt fur Gynakologie, No. 48,1902. In this article von Steinbuchel states that, stimulated by the work of Korff in surgery and Schneiderlein in psychiatry, he decided to try out the analgesic effects of these drugs in labor. The next year, while he was docent for gynecology and obstetrics in the University of Graz, he reported under the title, "Die Skopolamine Morphine Halbnarkose in der Geburtschilfe," the first twenty cases of labor in which these drugs were used in combination. He obtained a diminution of pain but no anesthesia. He used very much smaller doses than had been tried in surgery. His greatest achievement was the inspiration he gave to others to make further experiments in obstetrics with this combination. In his original article he set forth, as the basic requirements of any treatment given with the object of helping the mother, the following principles: 1. It must appreciably reduce the pain. 2. It must not stop the uterine contractions. 3. It must not contra-indicate the use of general anesthesia. 4. It must be safe for the mother. 5. It must not harm the child. 6. It must not cause post-partum atony of the uterus. In his second article, in which he reported the first twenty cases, he outlined his treatment. He gave the patients one or two injections, at intervals of at least two hours, of scopolamine 0.0003 (gr. 1/200) and morphine 0.01 (gr. 1/6). He used his preparations in solution, freshly boiling each one separately, and later had the combination of the two drugs put up in ampules. Of the twenty cases, only one remai...


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Product Details
  • ISBN-13: 9781154154917
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 246 mm
  • No of Pages: 28
  • Spine Width: 2 mm
  • Width: 189 mm
  • ISBN-10: 1154154912
  • Publisher Date: 01 Feb 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 68 gr


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