Show PUD PAINLESS LESS RTH from literary digest the use ot of ano anesthetics to ease the coming into the world of our little ones one Is familiar enough but it has all al ways been limited in its employment and the young mothers pains have been alleviated rather than abolished by it now however it if we may believe the writers of 0 a lea leading ding article in mcclures mcclunes McC lures magazine new york june the use of 0 the new anesthetic lias been so BO developed in the medical clinic ot of the university of baden in r frieburg ri eburg that childbirth absolutely unaccompanied by pain has become an a accomplished fact the method we are told has now been used in cases with success not ono one mother has been lost by it WP we are assured and the rate of infant mortality has been greatly decreased the expectant mother goes to frieburg tor for her ter twilight sleep and upon cai awakening she finds that her baby has been born safely and absolutely without pain to some the article may seem overenthusiastic enthusiastic over for a scientific description and it is edly a boost of the strongest kind for frieburg since we are assured that the treatment cannot be given anywhere else but we quote it tor for what it is worth tor for our readers information we read from the standpoint of the mothers there Is but one testimony concerning this twilight sleep as given them at frieburg leburg Fr when their pains began they tell you they went to sleep i of their part in the events that followed they retain no more memory than a somnambulist might have of the root roof he walked upon at night they woke happy and animated and well in body and soul and found with incredulous delight their bables babies all lying before them upon a pillow in the arms of a nurse those mothers who have once home borne children in the frieburg hospital return it if possible when childbirth comes upon them again it if you had another which way would you choose was asked one of them which way she said it happened to be an american mother 1 witch which way it if I 1 had another baby I 1 would have it in frieburg it if I 1 had to walk all the way from california this is the general answer of the mothers t who have gone to frieburg the twilight sleep is a light sleep induced by an injection or two of a combination of to tv o drugs scopoli min and um and continued under scopolamine lamin it is a sleep so light and so susceptible to outside impressions I 1 pres that semidarkness and quiet are required to make it entirely successful the ordinary tests of unconsciousness ness cannot be applied to it it Is attained at a point when the par pa tient loses the power of recollecting immediate events and sensations while still remaining susceptible to suggestions and in full possession of muscular powers it Is as may be seenia seen a very fine balance in 9 she ue states of consciousness consciousness and ran can be secured only under special conditions and thru special knoN knowledge of the use of the drugs that cause it these special conditions and this special knowledge have been worked out in the frieburg hospital early experiments in the use of the drug in this field were made at the medical by dr yon von his aim was to reduce the pain of labor without re dicing muscular action kronig continued with professor gausas aid the experiments ot of von his aim was to regu alte the the dosage e in such a way that a definite method tor for obtaining the exact amount of 0 unconsciousness required might bo be established gauss found alter drs kronig and long and detailed observation ot of many actual cases that by slightly y increasing von Stein buchels dosage they could with perfect safety laduce induce the state of clouded consciousness in which there was complete forgetfulness forgett ulness of the course ot of birth I 1 this forgetfulness is the twilight sleep ot of frieburg the technique ot of has never perfected which once required change and now ow the since t K i brodu production I 1 ebion of it has been given added I 1 certainty very recently by the discovery of professor straub of odthe the of the un i department pharm pharmacological ac 6 i i n aft diversity Iver sity of method tor for the preservation or of scopolamine lamin in solution which makes it possible lor for thear the c tit ioner to obtain a preparation that has no variability this advance la j in 16 the of immense importance for 11 past th the variableness of hi aig uig 3 drug in so solution lution has been one of the greatest ff hindrances to its ise t ini the object of course is to abolish i pain without going so tar far as to abolish reflex action also for it lii IF en cu the reflexes that nature depend in ill the ahe I 1 process that is taking aiace I 1 it t it h a as a I 1 t I 1 t been found that the emilet chiv t point where the desired condition conditi or i of nerve and brain Is reached may b bu aseer ascer tamed tallied by simply testing the memory I 1 professor kronig describes the tha sleep seep 1 1 and the essential memory test lest as fol fo lows ordinarily from halt half to three ot of an hour after the first injection the drug takes effect the sleep commences the suffering buffering increases and the patient has not lost consciousness about an hour from the time the first injection was given the second Js s given of scopolamine lamin in much smaller quantities gelle generally rally without um inthe succeeding succeed ing doses bally employed emD loyed alone to anyone who fully under understands standi the system which has attained entire success at frieburg leburg Fr it Is perfectly clear why critics of 0 the method have sprung up outside in the first place a proportion of these critics extending for themselves the earlier experiments f ot of von have fall led ed to give the proper dosage as recently worked out at frieburg leburg Fr t but in the second place there axe are ot other her conditions for success which are F il i be scarcely arcely less important than the matter ajr of proper dosage to 0 quote dr kronig again I 1 do not consider it the result of chance that it is precisely in hospitals w with a smaller number of cases rw p that our method has been adopted L KT im Ins large hospitals with many ands of births a year as in the cases of odthe the large hospitals of berlin and fri dresden our procedure has proved a iia ii a ai total failure this is easier to understand when we remember that the surroundings wa Vs i of atthe ahe patient have an importance an ak which we should not underestimate I 1 for the success of the method sense 41 i impressions loud noises bright light s i etc considerably disturb the halt half co con A ness when six or seven pari P ri 11 lie side by side in one ward r it is obviously impossible to obtain an even fairly effective semiconscious semi conscious ness this makes itself felt even rv with the small number of patients that we have a yearly average of three births a day the number of cases in which we obtain loss of memory or an amnesia inesta is in frieburg far smaller in fin those deliveries which oc t cur in the gene general ral w ward ar il than in tha I 1 case 0 of patients pat lenta treated in our private wards where they lie in a separ alpar ate room protected as far as possible from all impressions of slant sight and ad hearing when a number ot of frieburg mothers asked professor kronig to lo delplain to them why it is becoming fie fic to have pain in nt lie he lid did it in this way lie he said that the actual normal muscular effort involved in a baby into the world correspond to a I 1 climb up the schlossberg but for the modern woman of highly en complex triplex nervous organization tho irus cular effort is com complicated with so much pain that often the pain itself heroines becomes a factor of serious interference Interfere ric with the birth and he compared the moth era muscular effort to bring her baby into the world in these conditions to a woman who might be obliged to climb up the schlossberg with 4 sharp nil jil in her toot foot that all women modern modem or cr old c ld fashioned would desire all thai IL their childbearing child bearing be made painless 1 if this is possible with safety Is not open to debate that such a method is accessible to them by the exact duplication of the tactics and conditions at frieburg is now well demonstrated demonstrated the gres greatest test danger to their securing it is not that the drug scopolamine lamin will not be tried elsewhere it has been so tried in this country as well as in ill europe but that it will be tried under other conditions and other dosage than those which are positively essential tor for the securing ot of the exact and very nice balance of consciousness and muscular action which must be obtained professor gauss the associate ot of dr kronig in frieburg compares the strenuous experiences of the modern aviator with Us lils professional work at the hospital in closing a recent report ot of his me medical specialty he h has as like dr kronig used his observations of the mountains about frieburg to illustrate in a popular way another feature of the new treatment lex ex delicacy and caution required require il for 1 its t 8 successful use the twilight sleep lie he says la is a narcotic condition of extremely limited breadth like a narrow mountain crest to the left of t it lie the dangers of too deep effect with unconsciousness ness and absence of birth pains to the right the danger of too shallow effect with retention of consciousness and sensibility ot of pain the ai power of the memory ls le and remains the only guide literary digest |