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对产科医疗行为的宗教异议?19世纪中叶法国产科麻醉的历史研究

Religious objections to obstetric practice? A historical study of obstetric anaesthesia in mid-19th century France.

作者信息

Chernick Rebecca E, Desai Manisha S

机构信息

University of Connecticut School of Medicine, Department of Anaesthesiology, Farmington, USA.

University of Massachusetts Medical School, Worcester, USA.

出版信息

Anaesth Intensive Care. 2025 Jul 4:310057X251337754. doi: 10.1177/0310057X251337754.

Abstract

An early administration of anaesthesia for childbirth occurred on 19 January 1847, when Scottish obstetrician James Young Simpson administered diethyl ether to facilitate the delivery of a child to a woman with a deformed pelvis. Simpson advocated for its use to reduce pain both in surgery and in childbirth. Obstetric anaesthesia was controversial for many reasons, and objections came not only from fellow obstetricians, but also from the public and members of the clergy. While James Young Simpson shed light upon religious objections to obstetric anaesthesia, modern scholars have debated whether such objections truly existed. The aim of this study is to determine whether religious objections to obstetric anaesthesia were endorsed by medical professionals in France during the mid-19th century. A search of the Bibliothèque Nationale de France (National Library of France) was conducted. Primary source documents reveal that French physicians were interested in studying the effects of ether and chloroform during labour and delivery. Nevertheless, the introduction of obstetric anaesthesia was controversial for many reasons, including concerns about its effect on natural labour. The evidence suggests that these objections were not endorsed by the medical community. Much of the controversy surrounding obstetric anaesthesia involved the perceived necessity of the practice during low-risk vaginal deliveries. It appears that French physicians were aware of religious objections to the use of anaesthesia in childbirth but did not endorse them. The use of obstetric anaesthesia in France was guided by scientific evidence and clinical experience, without interference from religious leaders.

摘要

1847年1月19日,分娩麻醉首次实施,当时苏格兰产科医生詹姆斯·扬·辛普森给一名骨盆畸形的妇女使用了乙醚,以助其分娩。辛普森主张在手术和分娩中使用乙醚来减轻疼痛。产科麻醉因诸多原因备受争议,反对意见不仅来自同行产科医生,还来自公众和神职人员。虽然詹姆斯·扬·辛普森揭示了对产科麻醉的宗教反对意见,但现代学者一直在争论此类反对意见是否真的存在。本研究的目的是确定19世纪中叶法国的医学专业人员是否认可对产科麻醉的宗教反对意见。研究人员对法国国家图书馆进行了检索。原始资料文件显示,法国医生对研究乙醚和氯仿在分娩过程中的作用很感兴趣。然而,产科麻醉的引入因多种原因存在争议,包括对其对自然分娩影响的担忧。证据表明,医学界并不认可这些反对意见。围绕产科麻醉的诸多争议涉及低风险阴道分娩时这种做法是否必要。看来法国医生意识到了宗教对分娩时使用麻醉的反对意见,但并不认可这些意见。法国产科麻醉的使用是以科学证据和临床经验为指导的,没有受到宗教领袖的干预。

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