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[卡塔里娜·海伦娜·马尔希姆1756年的助产教科书]

[Catharina Hellena Malhiem's textbook in midwifery from 1756].

作者信息

Höjeberg P

出版信息

Nord Medicinhist Arsb. 1995:85-91.

PMID:11624769
Abstract

From notations in the literature it has been known that a midwife from a provincial capital in Sweden, Vänersborg, in 1758 applied to Collegium Medicum (The National Board of Health) for support to a textbook in midwifery. It was, however, not published. In 1993 the book was found in an archive. This article describes the content of the book and her struggle to be accepted as a trained midwife by the burghers of the town - as it is described in the records from the municipal court. She wrote her book - 110 questions and answers - for education of the women and traditional midwives in the area. There are three chapters: On the personal qualifications of a midwife and the anatomy of the body; On the normal delivery and On the abnormal delivery. Obviously she has been influenced by the books written by the Swedish obstetrician von Hoorn in 1697 and 1715 but in general an analysis of the text shows that it is also independent from other sources. There are some answers indicating a fairly high level of knowledge, like the advice to dry the child after christening in order to avoid cooling down. Mrs Malhiems book was not accepted by the Collegium Medicum. Nor was she given permission to train midwives or become a provincial midwife for the region. The authorities wanted to retain their central power. Mrs Malhiem herself died as a poor woman in 1795, 79 years old.

摘要

从文献记载中可知,1758年瑞典省会城市瓦讷斯堡的一位助产士向医学委员会(国家卫生局)申请资助一本助产士教科书。然而,这本书并未出版。1993年,这本书在一个档案馆中被发现。本文描述了这本书的内容以及她为被镇上居民认可为一名训练有素的助产士所做的努力——正如市法院记录中所描述的那样。她为该地区的女性和传统助产士编写了这本书——包含110个问答。该书有三章:关于助产士的个人资质和身体解剖;关于正常分娩;关于异常分娩。显然,她受到了瑞典产科医生冯·霍恩在1697年和1715年所著书籍的影响,但总体而言,对文本的分析表明它也独立于其他来源。有些答案显示出相当高的知识水平,比如建议在洗礼后擦干婴儿以避免着凉。马尔希姆夫人的书未被医学委员会接受。她也未被允许培训助产士或成为该地区的省级助产士。当局想保留他们的核心权力。马尔希姆夫人本人于1795年去世,享年79岁,死时穷困潦倒。

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