Nitrous oxide-oxygen analgesia and anaesthesia in normal labor and operative obstetrics . araphernalia of obstetrics, before or after,the better. Until men realize this and recognize the fact that the simplestobstetrical operation demands not one whit less of care as to antiseptic precau-tions than is required of one before opening the abdomen, we shall get nofurther forward. * * * * When the practical obstetrician realizes his responsibility and that nosmall share of this terrible maternal mortality, of a certainty, lies at his door,he has made the first step towards true progress. When he re


Nitrous oxide-oxygen analgesia and anaesthesia in normal labor and operative obstetrics . araphernalia of obstetrics, before or after,the better. Until men realize this and recognize the fact that the simplestobstetrical operation demands not one whit less of care as to antiseptic precau-tions than is required of one before opening the abdomen, we shall get nofurther forward. * * * * When the practical obstetrician realizes his responsibility and that nosmall share of this terrible maternal mortality, of a certainty, lies at his door,he has made the first step towards true progress. When he realizes that laboris a natural process, which, in the great majority of cases, it is criminal to dis-turb; when he realizes that every interference increases the inherent dangersa hundred-fold; and when under this consciousness he brings with him to thelying-in room all that is possible of those principles of antiseptic surgery whichhave been at the bottom of the triumphs of modern gynecology, we shall nothave long to wait for the lightening of the dark cloud which hangs over usnow [5]. NY Single Anaesthetic orMethod, Which will ProveUniversally Satisfactory inLabor and Operative Obstet-rics, Probably will NeverBE Found % The NecessaryQualifications of Such an Agent, Applied asOUR Present-Day Obstetrics Indicate, areMany % It Should Have no III Effect, Im-mediate OR Remote, on either the MotherOR the Babe % It should Render True, Phy-sical Relief from Suffering and should beApplicable over a Long Period of TimeWithout any Influence upon Uterine Con-traction % It must Present to the Obstetri-cian A Patient in Satisfactory Condition forDelivery and to be Entirely Practical itMUST Admit of Convenient, Simple and Eco-nomical Use % Of all the Various Anaes-thetic Agents now at our Command, NitrousOxide is Probably the Most Nearly AdaptedTO THE Fulfillment of these Qualifications. —Arthur E. Guedel. [6] The Necessary Qualifications for a Universally SatisfactoryObstetrical Analgesic


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