Neonatology on the Web: Henderson 1928
نویسنده
چکیده
There are probably no procedures in medical practice which are so nearly the same as those of the dark ages, or which have as yet been influenced so little by modern scientific knowledge, as those of the midwife or obstetrician in dealing with a nonbreathing new-born child. Perhaps an excuse may be found in the statements still contained in textbooks of physiology and obstetrics regarding the questions why the fetus does not breath in the uterus, and why it does start to breath after birth. This topic is generally discussed rather philosophically, and so might be left to the merely philosophical if it were not that some of the statements in these discussions afford a basis for most unfortunate results. Thus, in such accounts stress is laid on the effects of exposure to cold air and the stimulation of the skin by contact with objects in the outside world. Such a notion having been implanted in the mind of the obstetrician, it then becomes the basis for plunging the child into cold water or applying a vigorous spanking. The new-born baby may be swung vigorously by the feet, squeezed and pulled and manhandled. The results are frequently serious, and probably in rare cases may even involve fatal organic injury. Such practices arise from the same mistaken idea as those of the so-called countershock treatment sometimes applied in the resuscitation of men partially drowned, electrically shocked, or asphyxiated by gas.
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Neonatology on the Web: Sidbury 1923
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