A WORD ABOUT PRESCRIBING IN OBSTETRICS



On a bright summer day when it was about time for the baby to come, this young lady said to her folks, “I am going to the hospital.”.

“What? You havens got any pains.”.

“I feel as though my baby was going to come. I am going to the hospital.”.

So she walked three or four blocks to the hospital, took the elevator and went up and the interns and nurses made fun of her. “You are very silly.”.

“Get me ready now. I am going to have my baby.”.

They finally acceded to her wishes and took her to the room, scrubbed her up, and did the usual things that are done for preparing the patient, but before they were through, that little head was coming down in there, and they had to hurry to the operating room, and the baby was born, with absolutely no pain, and from the time she left her house until they baby was born, was two and a half hours.

I have had them where the baby came so fast, it was horn in an automobile. One was born on some church steps. I dont know whether that had any significance or not. One remarkable case was twins, but, as I say, I ceased long ago to tell my record, but I know I will have a sympathetic ear in this audience. This girl had all the signs that were supposed to be the dangerous signals. I spoke to a surgeon in my office about the case, and he said, “Take her to the hospital and take that baby. She is going to have convulsions.”.

What I would have done in a case of convulsions in labor I dont know, because I never have had any. I had had quite a number of cases where it was possible.

In regard to the action of medicines, Chamomilla was mentioned, and with that keynote, the woman seemed to be beside herself. She says she cant stand the pain any longer. Then you have to look little further to find that Chamomilla is the indicated remedy.

This was my case but taken care of by a specialist and when I came to the hospital, because I wanted to be there of this occasion, she was lying on a cot in the hallway crying and groaning, and writhing on the little bed, and the nurse said, “she needs Nux.”.

“No, Chamomilla.”.

In five minutes they had hurried her to the operating room.

I could go on and tell about a number of others. I wanted, when I was coming here, to have an opportunity to tell you, though, of one case where Pulsatilla did its usual stunt in changing the position of the fetus. A niece of mine wrote and told me that her doctor said that the baby was crosswise, and it was rather dangerous. I knew her case very well, and I knew that in a general way she was a Pulsatilla, and I sent a dose, and in less than two hours that baby turned around and got its head into the pelvis, and in a few days, when she came to term, was in labor, it was practically painless labor, although it was her first child.

DR. WILBUR K BOND.: I should like to ask Dr. Hayes the remedies he prefers when there is deficient milk supply in the flow of milk.

DR. J.B. GREGG CUSTIS: I have never been able to accomplish painless labor, but I saw one once in a young primipara. She hadnt had any labor at all nor any difficulty at any time. She had an absolutely painless labor. I had never been able to do it with primiparas.

I feel that convulsions in ninety-nine cases out of a hundred are neglected during the time the woman was pregnant. If a woman is carefully prescribed for and seen often enough, her diet probably adjusted, and she is given the right remedy, she won;t have convulsions.

Unfortunately, I have had to use forceps and I have had to do caesareans. One caesarean I did last year I reported to the institute. It was due to a septum down the center of the uterus which extended over a third of the way from the fundus down to the cervix. The baby was breech. The head was in the left side, to the left of the septum, the breech to the right of the septum. I dont believe any remedy in the world would have brought that baby through. That is a mechanical thing.

Of course most caesareans are usually from mechanical things, and we do have those mechanical things.

There is another reason for forceps and that is the so-called vertex labor, which I thick is a most pernicious practice, resulting in a good many infant deaths. I cant, I am afraid, give a record of no forceps and no caesareans, but i do feel very strongly about this convulsion business.

My practice is to see the patient once in three weeks, from the first time she sees me up to the seventh months, every two weeks during the seventh month, and every week during the eighth and ninth months. I feel that with that kind of care and with careful homoeopathic prescribing, we should not have convulsions, and I have seen many case where blood pressures have crept up, not only systolic but also diastolic, and albumin in the urine, and sugar, which would have gone through perfectly all right, without the homoeopathic remedy, of course.

DR. THOMAS K.MOORE: There is one circumstance I am interested in. Hardly any young women ever nurse their babies any more. We see it so rarely out our way. It is exceptional and here are two cases not having had narcotics or anesthetics or anything of the sort. It would be interesting to know if they nursed their own babies. I have a feeling that there is a relation there.

DR. V. TABER CARR: Having cases that we know are painless under homoeopathic remedy, I raise the question, Did nature intend to have normally painless birth?.

DR. FARRINGTON: Not according to Scripture.

DR. MOORE. Not according to The Readers Digest!.

DR. ROYAL E.S. HAYES [Closing discussion]: In answer to Dr. Bond, I havent any preferred remedies that I know of, but it is possible that Calcarea has been more frequently used than others in the past.

In answer of Dr. Moore, both these women nursed their babies.

There is one point which was rather obscures. I hoped somebody would notice it, and that is that I didnt prescribe when there was not very much need for it, but I waited for an urge for a remedy, and then it acted well.

Royal E S Hayes
Dr Royal Elmore Swift HAYES (1871-1952)
Born in Torrington, Litchfield, Connecticut, USA on 20 Oct 1871 to Royal Edmund Hayes and Harriet E Merriman. He had at least 4 sons and 1 daughter with Miriam Martha Phillips. He lived in Torrington, Litchfield, Connecticut, United States in 1880. He died on 20 July 1952, in Waterbury, New Haven, Connecticut, United States, at the age of 80, and was buried in Waterbury, New Haven, Connecticut, United States.