Sloane Hospital for Women | |
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NewYork-Presbyterian Hospital since 1925 | |
Geography | |
Location | Manhattan, New York, United States |
Coordinates | 40°50′27″N73°56′30″W / 40.84086°N 73.94175°W |
Organization | |
Affiliated university | Columbia University Vagelos College of Physicians and Surgeons, Columbia University Irving Medical Center |
History | |
Former name(s) | Sloane Maternity Hospital |
Opened | 1886 |
Links | |
Lists | Hospitals in New York |
Other links | Hospitals in Manhattan |
The Sloane Hospital for Women is the obstetrics and gynecology service within NewYork-Presbyterian Hospital and the Department of Obstetrics and Gynecology of the Columbia University College of Physicians and Surgeons (P&S) in New York City. It was founded in 1886 with Columbia P&S as a training and treatment center for obstetrics. It has provided over 100 years of obstetrical care. The hospital is located within Morgan Stanley Children's Hospital.
Sloane Maternity Hospital was founded in 1886 with a donation from William D. Sloane and his wife, Emily Thorn Vanderbilt, the granddaughter of Cornelius Vanderbilt, to Columbia P&S. On January 18, 1886, Dr. James W. McLane approached the College of Physicians and Surgeons Board of Trustees with the issue of a lack of obstetrical training and care in New York. [1] He presented to the board an offer from William D. Sloane and Emily Sloane to fund the building of a maternity hospital in conjunction with the Columbia P&S. The board accepted the offer and the construction of Sloane Maternity Hospital was complete by the end of 1886. [1] The hospital was located on the P&S campus in Midtown Manhattan at Amsterdam Avenue and 59th Street, serving as a teaching facility for P&S students, and opened its doors in early 1888.[ citation needed ]
The founding board of trustees for the hospital consisted of "Dr. McLane as the President, Mr. Sloane as the treasurer, and Dr. Delafield as Secretary." [1] One of the first actions of the board was to establish Sloane Maternity Hospital as a training center in obstetrics for nurses. Miss Harriet E. Dutcher was appointed as the "Principal of the Sloane Training School." [1] Obstetric staff at the hospital was made up of Dr. Thomas, Dr. McLane, and Dr. Edward Partridge.[ citation needed ]
The hospital soon established a reputation for superior sanitary practices and low mortality rates. It was originally created on the basis of free obstetrical care for underprivileged, but due to increasing fees the endowment of the Sloane Family could not cover all the costs. In 1897, an alternate policy was created that required patients to pay medical costs and extra fees for special accommodations, such as a private room. [1] If the applicant for admission could not afford the care, they were admitted for free. [ citation needed ]
Edwin Cragin, the second director of the hospital, began linking the training and treatment of obstetrics with gynecology. [2] In 1910, the facility changed its name to Sloane Hospital for Women. In 1911, a new surgical building was added, also funded by the Sloanes. [3]
In 1925, Sloane became part of Presbyterian Hospital, which was operating in affiliation with P&S. [4] In 1928, it moved with P&S and Presbyterian Hospital to its present location on 168th Street in the Washington Heights area of northern Manhattan to form Columbia-Presbyterian Medical Center. [5] There it maintained its name while occupying several floors of the Presbyterian Hospital building. Sloane is now part of NewYork-Presbyterian pediatrics within the Morgan Stanley Children's Hospital, and the name is still in use today.[ citation needed ]
Notable people born at Sloane include actor Humphrey Bogart, National Geographic photographer Gordon Gahan and former First Lady of the United States Nancy Reagan.[ citation needed ]
The Sloane Maternity Hospital was created to focus on obstetrical care and referred all gynecological patients to the Vanderbilt Clinic. Dr. McLane recorded the early obstetrical care at Sloane Maternity Hospital in his report "Report on the First Series of One Thousand Successive Confinements from January 1st, 1888 to October 1st, 1890 at Sloane Maternity Hospital." [1] The hospital implemented the use of carbolic acid to clean the lying-in wards and banned the use of straw beds to create sanitary conditions for patients. Delivery consisted of rectal anema and vaginal douche before the birth, delivery of the baby while the mother was on her side, and another vaginal douche after the placenta was delivered. [1] After birth, maternal care consisted of vaginal sutures with silk worm gut, a transfusion of ergot to prevent bleeding, and bed rest for 9 days after delivery. [1] Of the first 1000 deliveries performed at the hospital, only six resulted in maternal death, two of which were attributed to placenta praevia. [1] The procedures performed in the first 1000 cases were 12 inductions of labor, 83 deliveries with forceps, 14 cases of version, 3 cases of craniotomy, and 14 treatments of postpartum hemorrhage. [1]
Case histories of early obstetrical care at Sloane Maternity Hospital include a patient delivering a child with encapholitis, a patient pregnant with twins presenting prolapsed funis and eclamptic seizures, a patient with version, and a patient with a contracted pelvis. [1] The detailed case histories of these patients discussed tools and techniques used at the hospital including: cephalotripsy, the use of chloroform as an anesthetic, the use of opium for pain treatment, the use of a Barnes' dilator, the Crede's maneuver, and bougie labor induction. [1]
After its founding, and in coordination with Columbia University Vagelos College of Physicians and Surgeons, Sloane Maternity Hospital became an obstetrical student training center. In 1890, the clinical training of P & S students started out with a few students. The program gradually increased in size, with 225 students attending in 1895. [1] The instruction consisted of lectures by Dr. McLane, Dr. Partridge, and Dr. Tuttle as well as patient observation, patient examination, and performing deliveries. [1] Topics covered in the lectures included causes of abortion, "albuminuria of pregnancy," abnormalities of labor, obstructed labor, and breech labor. [1] In 1894, the College of Physicians and Surgeons announced that they would be holding summer courses at Sloane Maternity Hospital for physicians and medical students. For a fee of $50, the student would be provided a dormitory, forty lessons on obstetrical operations, observation of births at the hospital, and teachings on how to treat new born infants. [1]
Theodore Gaillard Thomas worked at the women's hospital and was a pioneer surgeon that focused on women's reproduction issues. Thomas's surgical work at this hospital led to the development of obstetric surgical instruments and new gynecological operations, such extraperitoneal cesarean section and the removal of ovarian tumors “per viginam.” [1] James W. McLane also developed an important obstetric instrument, Tucker-McLane forceps. The first time the Tucker- McLane forceps were used was at the Sloane Maternity Hospital in 1891 and they continued to be in Sloane Maternity Hospital practice for 30 years. [1]
As a research and clinical facility, the Sloane Hospital for Women pioneered advances in the field, including the Apgar score, the use of rhogam, and amniocentesis. [2] The hospital trained generations of obstetrical and gynecological medical students, nurses, graduate physicians. With the research of the medical practitioners, the hospital was able to increase medical knowledge regarding woman's reproduction. [1]
Today, Sloane Hospital for Women remains affiliated with NYP-CUMC and is known for its work in obstetrics and gynecology. This hospital consists of multiple departments, including The Carmen and John Thain Labor and Delivery Unit, the Carmen and John Thain Center for Prenatal Pediatrics, and The Mothers Center. [2] In 2015, the hospital delivered over 4,000 babies in the Labor and Delivery Unit. The work of the hospital includes delivery, pediatric and adolescent gynecological care, gynecological cancer treatment, and treatment of reproductive disorders. [2] The hospital is developing a program of personalized medicine to address women's mental health and well-being.[ citation needed ]
Midwifery is the health science and health profession that deals with pregnancy, childbirth, and the postpartum period, in addition to the sexual and reproductive health of women throughout their lives. In many countries, midwifery is a medical profession. A professional in midwifery is known as a midwife.
Caesarean section, also known as C-section or caesarean delivery, is the surgical procedure by which one or more babies are delivered through an incision in the mother's abdomen. It is often performed because vaginal delivery would put the mother or fetus at risk. Reasons for the operation include obstructed labor, twin pregnancy, high blood pressure in the mother, breech birth, shoulder presentation, and problems with the placenta or umbilical cord. A caesarean delivery may be performed based upon the shape of the mother's pelvis or history of a previous C-section. A trial of vaginal birth after C-section may be possible. The World Health Organization recommends that caesarean section be performed only when medically necessary.
Obstetrics and gynaecology is the medical specialty that encompasses the two subspecialties of obstetrics and gynaecology. The specialization is an important part of care for women's health.
Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgical field.
Gynaecology or gynecology is the area of medicine that involves the treatment of women's diseases, especially those of the reproductive organs. It is often paired with the field of obstetrics, forming the combined area of obstetrics and gynaecology (OB-GYN).
Childbirth, also known as labour, parturition and delivery, is the completion of pregnancy where one or more babies exits the internal environment of the mother via vaginal delivery or caesarean section. In 2019, there were about 140.11 million human births globally. In the developed countries, most deliveries occur in hospitals, while in the developing countries most are home births.
Obstetric fistula is a medical condition in which a hole develops in the birth canal as a result of childbirth. This can be between the vagina and rectum, ureter, or bladder. It can result in incontinence of urine or feces. Complications may include depression, infertility, and social isolation.
In gynecology, a rectocele or posterior vaginal wall prolapse results when the rectum bulges (herniates) into the vagina. Two common causes of this defect are childbirth and hysterectomy. Rectocele also tends to occur with other forms of pelvic organ prolapse, such as enterocele, sigmoidocele and cystocele.
The NewYork-Presbyterian Hospital is a nonprofit academic medical center in New York City affiliated with two Ivy League medical schools, Cornell University and Columbia University. The hospital comprises seven distinct campuses located in the New York metropolitan area. The hospital's two flagship medical centers are Columbia University Irving Medical Center and Weill Cornell Medical Center, situated on opposite sides of Upper Manhattan.
William Smellie was a Scottish obstetrician and medical instructor who practiced and taught primarily in London. One of the first prominent male midwives in Britain, he designed an improved version of the obstetrical forceps, established safer delivery practices, and through his teaching and writing helped make obstetrics more scientifically based. He is often called the "father of British midwifery".
Marie-Louise Lachapelle was a French midwife, head of obstetrics at the Hôtel-Dieu, the oldest hospital in Paris. She published textbooks about women's bodies, gynecology, and obstetrics. She argued against forceps deliveries and wrote Pratique des accouchements, long a standard obstetric text, which promoted natural deliveries. Lachapelle is generally regarded as the mother of modern obstetrics.
Tsan Yuk Hospital is maternity hospital is located on 30 Hospital Road, Sai Ying Pun on Hong Kong Island, is a public hospital in Hong Kong, It was specialising in obstetrics and gynaecology. It also operates as a teaching and training hospital for the medical and nursing students of Li Ka Shing Faculty of Medicine of the University of Hong Kong.
Morgan Stanley Children's Hospital of NewYork-Presbyterian is a women's and children's hospital at 3959 Broadway, near West 165th Street, in the Washington Heights neighborhood of Manhattan, New York City. It is a part of NewYork-Presbyterian Hospital and the Columbia University Irving Medical Center. The hospital treats patients aged 0–21 from New York City and around the world. The hospital features a dedicated regional ACS designated pediatric Level 1 Trauma Center and is named after financial firm Morgan Stanley, which largely funded its construction through philanthropy.
Historically, puerperal fever was a devastating disease. It affected women within the first three days after childbirth and progressed rapidly, causing acute symptoms of severe abdominal pain, fever and debility.
Obstetrical nursing, also called perinatal nursing, is a nursing specialty that works with patients who are attempting to become pregnant, are currently pregnant, or have recently delivered. Obstetrical nurses help provide prenatal care and testing, care of patients experiencing pregnancy complications, care during labor and delivery, and care of patients following delivery. Obstetrical nurses work closely with obstetricians, midwives, and nurse practitioners. They also provide supervision of patient care technicians and surgical technologists.
Joseph Bolivar DeLee was an American physician who became known as the father of modern obstetrics. DeLee founded the Chicago Lying-in Hospital, where he introduced the first portable infant incubator. Early in his career, he was associated with the medical school at Northwestern University. After 1929, he was employed by the medical school at the University of Chicago.
Obstetric medicine, similar to maternal medicine, is a sub-specialty of general internal medicine and obstetrics that specializes in process of prevention, diagnosing, and treating medical disorders in with pregnant women. It is closely related to the specialty of maternal-fetal medicine, although obstetric medicine does not directly care for the fetus. The practice of obstetric medicine, or previously known as "obstetric intervention," primarily consisted of the extraction of the baby during instances of duress, such as obstructed labor or if the baby was positioned in breech.
An obstetric hospitalist is an obstetrician and gynaecologist physician who is either employed by a hospital or a physician practice and whose duties include providing care for laboring patients and managing obstetric emergencies. Some obstetrics hospitalists also have responsibilities including resident and medical student teaching; providing backup support for family practitioners and nurse midwives, assisting private physicians with surgery, assuming care for ob-gyn patients unassigned to a physician and providing vacation coverage for the private practicing physician.
James Haig FergusonLLD FRSE FRCPE FRCSEd was a prominent Scottish obstetrician and gynaecologist. He served as President of the Royal College of Surgeons of Edinburgh from 1929 to 1931 and was president of the Edinburgh Obstetrical Society. He chaired the Central Midwives Board of Scotland and was manager of Donaldson's School for the Deaf. In 1929 he was a founding member of the British College of Obstetricians and Gynaecologists.
The Obstetrics and Gynecology Hospital of Fudan University, commonly known as the Red House Hospital, is a teaching hospital in Shanghai, China, affiliated with the Shanghai Medical College of Fudan University. It is rated Grade 3, Class A, the highest rating in the Chinese medical system.