Analgesia in Obstetrics

Helliwell, P. J.; Hutton, A. M.

doi:10.1111/j.1365-2044.1949.tb05804.x

Cited by 12 publications

(4 citation statements)

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“…In the first scenario, Shirley, there is evidence that her history of bromide intoxication and eclampsia (the fitting stage of pre-eclampsia) might have contributed to her experience of psychosis (NRS 5030 1954). Bromide was a sedative frequently given to pregnant women during the 1940s and 1950s during labour and to prevent eclamptic seizures (Helliwell & Hutton 1948). The signs and symptoms of bromide intoxication, such as confusion, memory loss, dizziness, slurred speech, unstable gait, fatigue, hallucinations, and delusions, could be confused as signs of psychosis (Dax 1946;Hodges & Gilmour 1951).…”

Section: Physical Illnessmentioning

confidence: 99%

“…However, by the 1940s, the diagnosis of psychosis and mania had been classified into symptoms. Physical treatments, such as electroconvulsive therapy (ECT) and insulin coma therapy (ICT), were introduced (Garton 2009;Kaplan 2013) alongside therapeutic agents, such as the sedative and antiepileptic agent bromide, also given during labour to prevent eclampsia (Helliwell & Hutton 1948). Therefore, the present study discusses how these new ideas and subsequent treatments affected the women, and considers if there were alternative explanations that could explain the women's symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Understanding the experience of women admitted to a psychiatric hospital in Sydney with psychosis or mania following childbirth after World War II (1945–1955)

Jefferies

Duff

Nicholls

2017

Int J Mental Health Nurs

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In the present study, we investigated a unique set of historical health-care records of women admitted to a psychiatric hospital in Sydney, Australia with a diagnosis of psychosis or mania after childbirth in the post-World War II (WWII) period, from 1945 to 1955. This research is part of a larger project examining how the descriptions of these women documented in the health-care records from 1885 to 1975 affected their treatment and the outcome of their admission. In the present paper, we report on the findings from an intensive examination of the post WWII documents. Eighteen health-care records from a psychiatric facility (Gladesville Hospital) were identified from admission registers housed in the State Records Office of New South Wales in 2014. Although seven records had been destroyed, 11 were transcribed verbatim. The records contain demographic information; descriptions of the women's signs and symptoms on admission; and information about the women before, during, and after their admission found in letters from relatives or medical staff. A content analysis of admission information showed how the women were described by health-care professionals, but a textual analysis of the records revealed that there were other factors that could have contributed to the women's condition, which might not have been taken into consideration when treatment and care were devised. The present study demonstrates the value of investigating historical health-care records to understand how prevailing attitudes and practices might affect diagnosis and treatment.

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Section: Physical Illnessmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Understanding the experience of women admitted to a psychiatric hospital in Sydney with psychosis or mania following childbirth after World War II (1945–1955)

Jefferies

Duff

Nicholls

2017

Int J Mental Health Nurs

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“…The reason for this phenomenon is unknown, but carriage by erythrocytes does not seem to be a factor. 200 In humans, oximetry reveals no measurable change of blood oxygen saturation in full-term babies whose mothers reeeive trichloroethylene.? "…”

Section: 237mentioning

confidence: 99%

Pharmacology and toxicology of trichloroethylene: A critical review of the world literature

Défalque

1961

Clin Pharma and Therapeutics

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“…In spite of the fact that Helliwell and Hutton (1949) reported unfavourably on the unsupervised use of trilene by midwives, our experience with Steel's inhaler in the labour ward, under the supervision of the medical staff and analgesia staff nurses, inspired confidence in its simplicity and reliability, and we issued it with two brisettes (each is effective for about half an hour) to students and pupil midwives attending cases on the district. Short talks on the scope and limitations of the inhaler were given, and typed instructions emphasized that the inhaler was not designed to produce anaesthesia but to lessen pain at the end of the second stage and at delivery.…”

Section: Br=tsh Medical Journalmentioning

confidence: 99%