Abstract

The employment of morphin in labor has become frequent in recent years, probably owing to the "twilight sleep" propaganda more than to any other influence. Briefly, morphin exhibits in this connection three important effects, the first desirable, the other two untoward, namely, analgesia, respiratory depression in the child, and delay of labor. It is unnecessary to review in detail the interesting history of scopolamin-morphin anesthesia, including its rather haphazard introduction by Schneiderlin,<sup>1</sup>its development in obstetrics by the untiring enthusiasm of Gauss,<sup>2</sup>and its modification by the pharmacologic critique of Bürgi<sup>3</sup>(pantopon [pantopium hydrochloricum] ), and of Straub<sup>4</sup>(a morphin-narcotin mixture, used by Siegel,<sup>5</sup>Libby<sup>6</sup>and others). Today its practice, so far as justified, is limited to a few who are fortunate enough to possess the combination of unusual facilities and almost superhuman patience. Since Hatcher<sup>7</sup>seven years ago pointed out the almost complete

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