The pathology and treatment of childbed : a treatise for physicians and students. ... From the second German edition with many additional notes by the author / by Dr. F. Winckel; translated by James R. Chadwick.

Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: The pathology and treatment of childbed : a treatise for physicians and students. ... From the second German edition with many additional notes by the author / by Dr. F. Winckel; translated by James R. Chadwick. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    the end of the 5th day, and reaching its lowest point on the evening of the 7th. So far as relates to the respiration and pulmonary capacity of healthy women in childbed, 14-18 inspirations per minute forms the usual rate; sometimes I have met with nearly the same frequence throughout the whole early part of childbed. For instance, in one puerpera, within the first 14 days, I counted, at 16 different times, oidy 16 res[)irations per minute, once 17, and six times 18. The capacity of the lungs after delivery increases, as a rule, in comparison with what it was during the pregnancy ; less frequently it decreases, and some- times remains the same. Dohrn' found an average increase of 338 c. c. in 60 i»er cent., and an avei’age decrease of 221 c. c. in 26 per cent. ; the capacity remained the same in 14 per cent. The increase appeared less frequently and was less marked in primiiiarm than in multiparrc, which Dohrn attributes to the fact of the former being less doe[)ly affected by the act of de- livery and its consequences, and also to their possessing in childbed comparatively less muscular power than those who have been i)reviously con lined. As these results are based upon a greater nundjer of observations (100 persons), they are certainly more reliable than those of Wintrich, Kiichenmeister, and Fabius, who found the amount of expiration after birth the same as before, or even less. Equally important is the range of temperature in normal childbed. D}' the numerous researches of 0. von Griiuewaldt,^ Dohrn and Wolf,® Schroeder,* Daumlelder,® and my own,® it has been fully established that, within the first 12 hours after birth, a slight elevation occurs, as a rule, yet its altitude seldom, if ever, exceeds the normal fluctuation. In the second ' Dohrn in der In. Diss von H. Ileinhai’dt; Uelier den Einfluss des Puer- jierimns auf Tlioraxform uud Lungcncapacitat, Marburg, 180.3, 38 pp., uud Jlonatsschr. f. Gebk. xxviii. pp. 4.57-403, 2 O. von Griinewaldt, Petersburger Med. Zeitsebrift, Bd. v. p. 1, 180.8. ’ Dohrn in der Inauguraldissertatiou von 0. Wolf; Beitriige znr Kenutniss des Verbaltens der EigeiiAvarmc im AVochenbett, Alarburg, 1800. ' Sebroeder, Scbwangerscliaft, Geburt und AA^ochenbett, Bonn, 1807, pp. 177-185. ® Loc.icit. ® Monatssebrift fur Geburtskunde, Bd. xxii. pp. 338-339.