LIMITATIONS


There are those who, recognizing no limitations, try to bend all facts, even those which are of necessity directly opposite to their desires, to meet those desires. On the other hand there are those who would draw the limits so closely that their work is stultified and obstructed until they are driven to other methods, too often not only bad but even definitely harmful.


It seems to me that the members of every society should now and then stop to consider the limits of the action of the particular thing in which they are especially interested. Obstetrics is a very definite place in which to do this, because we are dealing with conditions which have very definite limits. In a discussion of the value of any method of treatment of disease there are two extremes of thought and a middle ground.

There are those who, recognizing no limitations, try to bend all facts, even those which are of necessity directly opposite to their desires, to meet those desires. On the other hand there are those who would draw the limits so closely that their work is stultified and obstructed until they are driven to other methods, too often not only bad but even definitely harmful. There are certain limitations which, if we are to treat our patient with the idea of cure in the safest way, we must recognize, and which Hahnemann himself recognized.

Let us assume for the moment, although it is never true, that the limitations imposed by personal knowledge and skill are not. What remains then in the practice of obstetrics to limit the homoeopathic method? In the practice of obstetrics there are two important factors to be considered, mother and child. To have normal labor it is necessary on the mothers part that the mechanics which cause the expulsion of the child be competent, and the passage through which the child must pass must be sufficient to allow the passenger to go through. On the part of the child it is necessary that it be not too large and that it be properly adapted to the passage.

Granting these premises, it seems to me there are some definite limitations to the power of homoeopathy in obstetrics. In general all those maternal conditions which are not dependent on changes in the birth canal itself are best treated by the homoeopathic remedy. That opens a large field, in fact the largest part of obstetrics, to the action of the homoeopathic remedy. All those conditions of pregnancy leading up to the actual time of delivery are particularly susceptible and particularly affected by the action of the homoeopathic remedy.

All those conditions in labor which are due to abnormalities in the action of the mothers vital forces, all those conditions which are characterized by irregularities of the pains, by irregularities of the pains, by irregularities of the forces, all those conditions which are not directly dependent upon obstruction of some sort or other on the part of the mother are conditions which the homoeopathic remedy will, in my opinion, handle better than any other matter; that is, on the mothers side.

Now, on the side of the child, on the other hand there is very little that is amenable to the action of the homoeopathic remedy. The homoeopathic remedy will not decrease the size of the child so it can go through. I do not believe that anybody can prove that you can actually change the position of the child by the action of the homoeopathic remedy. I have seen presentations of the childs position having changed, but I have seen them change without any medication, so that we have trouble proving that medication has anything to do with it.

I do not believe there is any excuse for any women having serious toxaemia or convulsions if she has a homoeopathic doctor. There is just one thing in the homoeopathic case under homoeopathic care that causes convulsions and that is neglect. That neglect may be, and usually is, on the part of the woman. You tell your patient to come and see you every so often and you take a careful history.

You regulate her diet and you say, “Come back every two or three weeks for careful checkup”. She comes back after her legs are swollen two or three times their normal size, after she has begun to vomit and have headaches, and after her blood pressure has gone up to 160 or 170. Then you are in trouble, but if you get co-operation and you get proper care you should have no trouble in taking your patient up to the time of labor, and you should have no difficulties which are not due to the irregularities and the abnormalities of the mothers mechanism.

If you have a case of fibroid in the canal you cant expect the homoeopathic remedy to take care of it. If you have a case with a twisted pelvis or a generally contracted pelvis, so small there isnt room for the child to come through, you cant expect the homoeopathic remedy to take care of it. If you have a child with hydrocephalus, with the head definitely larger than the inlet, you cant expect the homoeopathic remedy to take that child through the canal. If you have a child which has come into the pelvis with the chin posterior you cant expect the homoeopathic remedy to take that chin posterior through the pelvis, or to put back the prolapsed hand or arm that has come down alongside the head.

Gregg Custis J B