not see that they are like to shed any important light
upon the subject before us. Every such instance
requires a good deal of circumstantial explanation
before it can be accepted. It is not enough that
a practitioner should have had a single case of puerperal
fever not followed by others. It must be known
whether he attended others while this case was in progress,
whether he went directly from one chamber to others,
whether he took any, and what, precautions. It
is important to know that several women were exposed
to infection derived from the patient, so that allowance
may be made for want of predisposition. Now, if
of negative facts so sifted there could be accumulated
a hundred for every one plain instance of communication
here recorded, I trust it need not be said that we
are bound to guard and watch over the hundredth tenant
of our fold, though the ninety and nine may be sure
of escaping the wolf at its entrance. If any one
is disposed, then, to take a hundred instances of
lives, endangered or sacrificed out of those I have
mentioned, and make it reasonably clear that within
a similar time and compass
ten thousand
escaped the same exposure, I shall, thank him for his
industry, but I must be permitted to hold to my own
practical conclusions, and beg him to adopt or at
least to examine them also. Children that walk
in calico before open fires are not always burned
to death; the instances to the contrary may be worth
recording; but by no means if they are to be used as
arguments against woollen frocks and high fenders.
I am not sure that this paper will escape another
remark which it might be wished were founded in justice.
It may be said that the facts are too generally known
and acknowledged to require any formal argument or
exposition, that there is nothing new in the positions
advanced, and no need of laying additional statements
before the profession. But on turning to two works,
one almost universally, and the other extensively,
appealed to as authority in this country, I see ample
reason to overlook this objection. In the last
edition of Dewees’s Treatise on the “Diseases
of Females” it is expressly said, “In
this country, under no circumstance that puerperal
fever has appeared hitherto, does it afford the slightest
ground for the belief that it is contagious.”
In the “Philadelphia Practice of Midwifery”
not one word can be found in the chapter devoted to
this disease which would lead the reader to suspect
that the idea of contagion had ever been entertained.
It seems proper, therefore, to remind those who are
in the habit of referring to the works for guidance
that there may possibly be some sources of danger they
have slighted or omitted, quite as important as a
trifling irregularity of diet, or a confined state
of the bowels, and that whatever confidence a physician
may have in his own mode of treatment, his services
are of questionable value whenever he carries the
bane as well as the antidote about his person.