Miriam

Friday 24 October 2014

The fundamental errors of the Templar Knights leyline organised criminality terrors, by Mother Sigrid Eliora

The fundamental errors of the Templar Knights leyline organised criminality terrors,


 by Mother Sigrid Eliora


To make it short: it is so obvious that there have always been places that were strategically 

valuable for piratery of certain cretains, often with fake-piety and groomed faces, who 

then invented some more or less scarry lore 

to keep others out from their secret society's organised criminality's 

shore. And with superstition and heresy also becoming increasingly a lucrative income

source they gradually expanded their repertoire of false or half-true stories and gave 

to themselves or invented gods all glories. The more idolatry and secrecy and superstition they

 had on offer the richer became also later the Templar knights' and other such organisations' koffer.

And were the times against their crimes and destroyed the organisations partly, they simply reinvented 

themselves under new disguise and did simply terms and titles and formats devise.

But all this had nothing to do with God's creation and with His one holy nation nor with Adam and Eve's real manifestation and their souls' incarnations and their truth, as they were there from the beginning of time but simply through those betrayed, who abused their free choice and their gifts from God to stray, and to create black magic and rifts instead of making to evermore light on earth the right shifts.


And so the world became a vast silent majority that allowed the bribery and organised criminality and 

war- and whoremongery of a tiny elitist minority, that used secretly for evil incantantations their voice 

and in church with fake-piety and that as an ever-growing new Roman empire of evil increasingly also 

took over many another society, and simply used their rituals and places and abused more and more 

the true story of Jesus Christ and Mary Magdalene also and even replaced them with the personae of

a pimp called also Jesus, as it was a widespread name like Judas, and a whole mocking order of Maidlins, who were each a self-confessing whore, 

and they turned it via violently acquired property and jewellery and money into an ever growing worldwide mercenary shore via the papacy, and the popes tried to cling on even now to all that their predecessors even as professors lied, and on each other spied to the point that one did the other's cardinal to the devil anoint and their bishops strategically for evil appoint. The thing is with this kind of

secret hierarchy and building wing, that it echoes around the world, when one does a false tone in

St Paul's and the other in St Peter's sing, and both do not have the right key nor the right ring but

only evermore loose their every once golden goose and cannot even find back their hopes for their

stuffed livers in boose, and one  aryan heretic and Templar knight never well with the fight of hell of 

another brother in arms copes, especially not in the middle of the night, when they each try to solve 

yet another broken spell riddle and have to constantly hear the ring of their Templar's punishment bell.


Turns also out that some churchwardens and parish council board members did not read the smallprint and confused plea with a pea and a most unholy see of the Vatican with a sea in the Anglican and so forth and try to talk their way out of their responsibility and accountability but suddenly they are catching their own tail, when all lame excuses fail and the law enforcement finds stolen mail in their hand and poison in the cupboard, the same they used for the vicar's coffee and tea, and upon all the proof under their roofs being secured their mouth turns all foul and they boast, how they their victims into a secret society trap lured that is not even on the map and how they stabbed a holy soul in their nap, and stacked the assets in a templar knights' safe house, one of many, and to the next one clacked with their imaginary devil's hoof - like in the worst ill-conceived spoof having become a nightmare scenario financed even and directed by some Mike the Pike in Ontario or some cardinal from Mexico, who secretly wears the templar cross ring, with which he lets disappear holy souls via his secret criminal organisation and does truthspeakers with invented fouls smear. But eventually God lets them all Jesus Christ's and Mary Magdalene's cross from all their incarnations even before their souls manifested as Adam and Eve bear, as they have been here on earth always and again in holy monogamy and will be around for eternity, and when they for reasons of security are separated temporarily, they fondly live in voluntary celibacy and in some incarnations at the same time in heaven with each other in the unseen world in holy matrimony. But even that annoys every ol' bat with a secret society hat or fatcat with envy and they want the holy couple again dead - but now God lets the evildoers eat their own stale bread and gives them His dried out tears as salt to eat and drink, and leaves them in their stink behind, as He knows none of them to the other mercy shows and puts the other with their tit-for-tat through their own miller's hell's grind, and they won't for their weddings and funerals in sin no more vicar nor kin shedding a tear find, and must die alone in their stained bedding, as what goes around comes around, when Templar knights and their whores transform into corrupt and evil criminal shores their own neighbourhood and charge even to an old friend, whom they betrayed a levy and fare and so, they will be the walking dead eternally with all their sins retained, as they have from putting wrong right voluntarily refrained and waited too long to see, whether the evil would again grow strong and did thus unnecessary suffering for numerous lives prolong - but God set the holy souls from the slavery of such organised criminality simply through the truth free, and the facts of most unholy acts and fights revealed makes even nowadays a former high-court judge on his Drury lane chair unsealed and undone, and he has nowhere to go than to confess his mess of his cone and to receive back his every stone around every corner from now on, as that is what happens, when one con betrays another one and did with the consequences under diplomatic immunity not bother - but they all forgot that Jesus Christ does not grant impunity, nor did He ever ask for diplomatic immunity and neither did Mary Magdalene, and she won't on any legal procedures in favour of any priory or their secret society member for mercy intervene at court, as they wanted her dead and stole even her living bread and did purposefully her name not remember, not even in December, and came to her simply as a bribed neighbourhood mole for some Roman or Dover sole or some self-invented Satan from some pole and they also accepted from whoever offered them a dole, even from a North-corean Kim or Japanese Jim and they only faked any notion that they had love for God over the brim for as long as a coffee break or lunch lasts with an evil streak. And even in mild temperatures will be for such creatures with recognisable greedy and weedy features every midwinter now bleak.




--

Katholikos Kyriake Sancta Ecclesia de Iesous Christos et Maria Magdalena

http://www.orderoftheholyrose-ohr.blogspot.co.uk

http://cilltrionoidnaofa.blogspot.co.uk

http://sunmoonandstarsuniverse.blogspot.co.uk



--
Katholikos Kyriake Sancta Ecclesia de Iesous Christos et Maria Magdalena

http://www.orderoftheholyrose-ohr.blogspot.co.uk
http://cilltrionoidnaofa.blogspot.co.uk
http://sunmoonandstarsuniverse.blogspot.co.uk

Wednesday 8 October 2014

And Abraham adds...

And Abraham adds: 'Had I known, how much unrest and evil my buying a plot for my beloved Sarah would cause, I would not have done it and followed her ancestor's belief to celebrate the holy soul and to release one's grief to God's good counsel as the mourner's true food and nourishment, and I do ask from all in my name to God to repent that they ever hell to earth from the underworld sent under a secret society cone and God's every commandment bent and left on her grave a dead stone as bread  instead of announcing the heavenly manna for all of the sinless Adam and Eve's happy return's advent!!! 
Mother Sigrid Eliora

--
Katholikos Kyriake Sancta Ecclesia de Iesous Christos et Maria Magdalena
http://www.orderoftheholyrose-ohr.blogspot.co.uk
http://cilltrionoidnaofa.blogspot.co.uk
http://sunmoonandstarsuniverse.blogspot.co.uk

Wednesday 1 October 2014

God says: 'Popes, ye have the longest time with your organised crime killed my holy souls and the truth's hopes, and none of them with your fake-piety and blasphemy anymore copes! I close down your shore, and put you from the witness box into the dock with your every babylonian whore under the eyes of Jesus Christ's and Mary Magdalene's flock! They have finished taking everywhere of your crimes against humanity stock, and I declare your sins retained, by Mother Sigrid Eliora

God says: 'Popes, ye have the longest time with your organised crime killed my holy souls and the truth's hopes, and none of them with your fake-piety and blasphemy anymore copes! I close down your shore, and put you from the witness box into the dock with your every babylonian whore under the eyes of Jesus Christ's and Mary Magdalene's flock! They have finished taking everywhere of your crimes against humanity stock, and I declare your sins retained, 

by Mother Sigrid Eliora

Blogger


God says: 'Popes, ye have the longest time with your organised crime killed my holy souls and the truth's hopes, and none of them with your fake-piety and blasphemy anymore copes! I close down your shore, and put you from the witness box into the dock with your every babylonian whore under the eyes of Jesus Christ's and Mary Magdalene's flock! My family has finished taking everywhere of your crimes against humanity stock, and I declare your sins retained, and condemn you simply for eternity with your every secret society and deadly pyramid hierarchy. You will feel a never known fear of my every tear in your bones, when I let come back at you all your stones, including the ones you wanted to throw physically and psychologically at Adam and Eve aka Jesus Christ and Mary Magdala and their eternal family of holy souls!!!

 by Mother Sigrid Eliora




Sigrid Else
26 minutes agoEditedPublic
And when God calls him into witness box, then he will only leave it to move into the dock and he will have to explain, why he gave order to have slain human beings and to kill the reputation and truth of Jesus Christ's flock, as numerous priests have also received for being faithful to the holy matrimony of Jesus Christ and Mary Magdala murderous attacks on their lives, and did now finally free from the slavery of the Vatican blasphemy and mockery of 1Tim 3 the beans to the authorities or secretly spill with peaceful means and would like to know, whether his threats via certain cardinals have already been made hellish reality by spreading from Catholic elite institutions by the Vatican pawns also pox. After all, there comes the time, when the Vatican used once too often its aeon old black magic in combination with organised criminality and utmost evil and brutality plotted by the highest ranks and carried out to rock bottom of inner circle secret societies and outside and mercenary hierarchies!!! And the day has come, at least for some, who do not want to pay anymore to their secret family alimony but want to live finally and serve God and not the devil in a church rather with their own little family of holy souls and free of the Vatican fouls and simply apply God's law and the truth to their eternal community in holy matrimony, each with their one wife, free of a ritual knife, and the popes in the dock for having purposefully lead astray not just numerous a holy Mother and Father but also Jesus Christ's flock out of sheer lust for power and dominion and greed and envy and to expand their evil empire for the return of the devil - as God does no longer let them get away with going from His law and truth astray, and they will have to walk in chains, possibly after the Russian way, into their cell via Canossa, under all eyes, as once too often they did holy souls stalk and with fake-piety their threats utter or whisper, whilst they did ever so fake-humbly to a churchwarden talk, who suddenly has fear of God and no longer of her bishop's rod, who has a knife at the bottom and poison in his hyssop. After all, it is the popes, who a long time ago in bloodthirsty crusades mercilessly killed whole tribes mercilessly to spread the devil's vibes and to take from all holy souls and even from God all hopes that the truth would ever emerge but the time is finally up, and the popes have to drink their own heresy from their piratery with their own poison filled cup that they keep moving from monastery to monastery of secret fascist empire mercenary military traing for the most bloodthirsty candidate to be the new ringleader in every country backed up with the most expensive PR and legal machinery that can be bought or bullied into their blackhole organised criminality. Sins retained, Popes, also posthumously, all ye, who have from putting wring right refrained and holy souls even through Muslim and other faith mercenaries have slained and for having holy souls with your and your own secret families' fouls in reputation stained.


I am calling into the witness stand Josef Ratzinger and Jorge Mario Bergoglio to speak the truth and nothing but the truth in the fear of God, in lack of the love of God and the love to the truth of Jesus Christ and Mary Magdala and their murdered infant twins Jacob and Zara-Zarai. And I call also as a witness in this context the two highest heads of the Anglican church, Her Majesty, the Defender of the Faith by title, and the Archbishop present and former, to answer in the presence of holy souls to God.
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--
Katholikos Kyriake Sancta Ecclesia de Iesous Christos et Maria Magdalena
http://www.orderoftheholyrose-ohr.blogspot.co.uk
http://cilltrionoidnaofa.blogspot.co.uk
http://sunmoonandstarsuniverse.blogspot.co.uk

The Trial of Budapest

https://twitter.com/mothersigrid/status/517073509961302016

Der Prozess von Budapest






--
Katholikos Kyriake Sancta Ecclesia de Iesous Christos et Maria Magdalena
http://www.orderoftheholyrose-ohr.blogspot.co.uk
http://cilltrionoidnaofa.blogspot.co.uk
http://sunmoonandstarsuniverse.blogspot.co.uk

Tuesday 30 September 2014

And there will come the time, when tears of holy souls will instill more fears of God in evildoers than any weapon, by Mother Sigrid Eliora


And there will come the time, when tears of holy souls will instill more fears of God in evildoers than any weapon,

 by Mother Sigrid Eliora




Sigrid Else
4 minutes agoEditedPublic
And there will come the time, when the tears of holy souls will instill more fears of God in evildoers than any weapon, as once too often has the sting of death been buffered and nullified by an angel's wing with God's breath, and the evildoers will live to regret that they ever about the eternal wedding wreath of Adam and Eve lied and did fret, as they could have also been made gods as Adam and Eve's children but they wanted it all, the evildoers, and thus did from earth into their own abbyss of hell fall, and their victims did all the pain they were put through before the heavenly judgement court tell and thus broke of evil the spell, and the evildoers were cut off forever from all true human beings, and not just from their vicinity but also from any holy community and family.

The tears about the betrayal of Jesus Christ's and Mary Magdalene's truth by Judas and his blood path disciples, by Mother Sigrid Eliora
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--
Katholikos Kyriake Sancta Ecclesia de Iesous Christos et Maria Magdalena

http://www.orderoftheholyrose-ohr.blogspot.co.uk
http://cilltrionoidnaofa.blogspot.co.uk
http://sunmoonandstarsuniverse.blogspot.co.uk

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AKATHISTOS for IESOUS CHRISTOS! YAHWE! OPRE! GELEM! GELEM!
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Katholikos Kyriake Sancta Ecclesia de Iesous Christos et Maria Magdalena

http://www.orderoftheholyrose-ohr.blogspot.co.uk
http://cilltrionoidnaofa.blogspot.co.uk
http://sunmoonandstarsuniverse.blogspot.co.uk




--
Katholikos Kyriake Sancta Ecclesia de Iesous Christos et Maria Magdalena

http://www.orderoftheholyrose-ohr.blogspot.co.uk
http://cilltrionoidnaofa.blogspot.co.uk
http://sunmoonandstarsuniverse.blogspot.co.uk

Sunday 28 September 2014

In this sign we conquered all evil. Mother Sigrid Eliora

In this sign we conquered all evil, 

by Mother Sigrid Eliora


In this sign we conquered all evil, 
and the true love of Jesus Christ and Mary Magdala
will live forever, as it is from The one good God
breathed upon them with the Holy Spirit.

In the Name of the Father, the Son and of the Holy Spirit.

Amen.

Sunday 21 September 2014

Tick, tack, tock, suddenly stops Oma Mathilde's clock, by Mother Sigrid Eliora


















Tick, tack, tock, suddenly stops Oma Mathilde's clock

By Mother Sigrid Eliora


Tick, tack, tock, suddenly stops Oma Mathilde's clock

and the evildoers no longer know, what and where with whom
is going to flock, as no longer the same
faces show or they hide from their former allies'

clear view, as public knowledge
has become their concerted evil and that in fact
they had plotted even for decades against the truth
and recruited for their murderous and criminally and
heretically minded organisation in every nation 
certain individuals via database and secret society 
interface that was abusing even MI5 and MI6 and CIA
and BND and military agencies here and there via
diplomatic immunity and so far with impunity, even
in many a local community and church hierarchy and
music academy and university, and I for my part, seem to
 have seen them all more or less, and most did eventually
even to me or on my advice, to the MI5 
directly keen confess to reduce their own sentence 
and it is high time also for the rest to clear up
their mess, who are not yet named and shamed, but 
they better write their letter of confession without concession 
and give their best as a witness or defendant and tell
from now on the truth, as they cannot escape the truth, 
wherever they go, as it is already known and the evildoers'
every crime judged accordingly by Jesus Christ, who will
also in worldly courts take them up on their responsibility
without further warning and ado. 

Amazing grace, when in an Indian restaurant in Munich
one sits next to a friendly face and finds out some twenty-six years
later that it was to take off my mind any fears and to dry
my tears due to betrayal and that this doctor was heaven sent,
and her meal at her own cost spent, although she could have 
claimed expenses at the British army base in Muenster - such is
the subtlety of the secret heavenly hierarchy, who always 
anonymously tried to prevent the worst from happening 
and that did watch right under the nose of those, who did for
their own selfish ends already then in an international 
axis of evil in their organised criminality and heresy mix and match courtesy
of Drury lane blackhole money overdose.

And as I was told meanwhile that even many of the subscribers of this list had long 
been part of every false rose's lists and membership, but
this is just a note to say that only the ones without secret society cones
are in fact welcome and known anymore personally to Jesus Christ's small but holy little
and most loving family.

So, every other needs never ever anymore bother to meet us 
or to contact us again, they can sing from me at their own funeral
under God's condemnation in their every nation 'bah, bah, blacksheep' 
with their sins retained, and drown without the comfort and peace of the truth that is holy 
in their own crocodile's selfpity's tears ever so deep, and even 
in their own created hell their fall will be as once their murderous climb
on their ladder as snake and blackadder ever so steep, as once to 
often they still wanted to kill us in our sleep.

I give thanks to the nice and warmhearted doctor, who did mercy 
on a holy soul show with a kind word and smile,
and did not throw at me a secret society's foul,
as she was only serving Crown and country under deep cover,mand was later 
disgusted, how the truth of Jesus Christ was maltreated and cheated
by the secret societies of Rome and Dover, and she rather broke her
devilish contract and was thus cursed with a stroke by some hierarchy
bloke but she still was able to report to the MI5 her extract and her proof
that the truth was for real and not a fable, and she communicated 
the facts of most unholy acts already back in 1988 without cable but
telepathically, as that is a long tradition in her family, who always
served selflessly the true family of Jesus Christ and Mary Magdala,
often unknowingly for her own protection, as God coordinated and 
spotted straight away, where somebody against Jesus Christ and Mary Magdala
again plotted.

And the original eternal family does not need to have letters or lines microdotted,
and expects now from the plotters and all secret societies to confess to the MI5 
voluntarily, what they know and have done, and the proof from underneath
many a strategic pyramid hierarchy's roof with devil's hoof is already prepared 
for legal procedures and numerous a holy soul 
that is invisible to a snob and murderous yob has handed over documents 
and gathered evidence of utmost decadence and pestilence on behalf of HM's
secret secret task forces, but the judges like to see some real commitment of
especially the defendants of the higher ranks of pranks, or they might just
be arrested, whilst meeting on mountain tops or thinktanks or at the obstetritian,
or private abortion clinic or at the therapist or yoga session or past life intercession or 
at uni or school, and wherever else they have society infested and their fools'money invested.

And there won't be any return for their investments, only punishment, as it 
does not pay anymore to kill for the lies and to play spies for any shore, not even
a reputation, as over from Rome to Dover is the big bug and bucks business under diplomatic immunity and impunity, especially also for those, who had part in a Scottish against the truth conspiracy or against worldwide democracy, and who wanted to create for
fascism via terrorism secretly anarchy to push through their evil empire obsession
for some dark lord, who finds himself now out of order and business even in Oxford
and Cambridge, and should he want to flee to Berlin, he will be arrested on stage, 
when popping up will be one under the codename Merlin! And nobody will any longer join 
in, not even in Rome or Vienna under a dome into a warmongering Lama's artificial laughing yoga, as more than one of his victims, who wanted to spill the beans on his seven sisters consultancy is now or has been in a coma or died, and had a Vatican sent mercenary on them spied.

Don't bother to send your 'gifts and donations', or cursed birthday wishes, we do not accept
bloodmoney, or to give us a call or to return after years out of fears for your impending arrest suddenly our dishes - we do not so low sink and from the fake chivalry and fake kindness cup of your murderous secret society to drink,
as you do still from your last Sunday morning show truth killing incense stink, and from your charcoal and sulphur smother!!! And don't expect
certain help from the Pall Mall, if you know, what I mean, or they spill for a change on you all
that you left out from your reports, every single bean, and the MI5 knows, who does with 
whom mingle, and they have been saved also by Jesus Christ from your attacks of shingle!
And a Queen Mum tells me suddenly also the truth over a glass of heavenly gin, as she meanwhile runs the extra-mile for her sins and Jesus Christ's and Mary Magdala's truly holy kins.. 


The truth is alive and well and free of the evildoers' bloody moody and murderous hell!!!
And those of you, who only worked with bribery and organised criminality your every stupid spell, be prepared that your victims did either from heaven or on earth the truth tell!!! And not even a former
bishop of Londinium has any desire left to curse yet another bell, as he always left afterwards 
some inexplicable smell, and from his every kingmaking secret society and from Drury lane's  own snakes' ladder fell and there was not a single loophole left, and he is also bereft of his latest mole, who all to a holy man with special arresting powers confessed and who sometimes also as a monk dressed.

And a last word to one with a samurai secret society sword, who at face value plays the godmother to a holy child but who is secretly not at all gentle and honest nor mild: Jesus Christ has asked for an injunction against you and against your real unholy father's urchin see unction,
and that includes also a journey from and to Coldharbour lane to Clapham junction and Croydon, as wherever you go to try to kill a certain holy family there will be instantly a crime scene investigation cordon. And you have no longer diplomatic immunity nor impunity by a Scottish politician called Gordon, and neither have your other pink and rainbow and human trafficking and paedophilia secret society members, and each of your victims your voices remembers!

Mother Sigrid Eliora
Katholikos Kyriake  Sancta Ecclesia de Maria Magdalena
Abbey of the Holy Rose
Cill Naomh Ceadda



--
Katholikos Kyriake Sancta Ecclesia de Maria Magdalenahttp://www.orderoftheholyrose-ohr.blogspot.co.uk
http://cilltrionoidnaofa.blogspot.co.uk
http://sunmoonandstarsuniverse.blogspot.co.uk

Friday 19 September 2014

Wednesday 17 September 2014

Links and Resources about Epilepsy, Cerebral palsy, Downs Syndrome, Multiple sclerosis, by Mother Sigrid Eliora

Facts and Resources about Epilepsy

Cerebral-palsy

downs-syndrome

Multiple Sclerosis


Sigrid Agocsi


The key to God's eternal home is through Jesus Christ as the eternal cornerstone of Kushta, the truth alone, under God's blue dome.
In the Name of the Father, the Son and of the Holy Spirit, in the Name of the Holy Trinity may you live and speak the truth and dwell in its heavenly peace also on earth, wherever you are, at your kitchen hearth.

Monday 15 September 2014

The good old Pinard Stethoscope By Mother Sigrid Eliora

The good old Pinard Stethoscope

By Mother Sigrid Eliora

It seems to me that whether or not using the pinard stethoscope for diagnosis is the same relevance and preference than whether or not to use a manual sphygmomanometer  -  many professionals say that they prefer the manual to the high tech diagnosis, and like with every instrument and technique that has helped so many for such a long time the skill to use it should not get lost. Who knows, there might be times, where there is no electricity or no battery, then what?! And the human ear and touch is a most invaluable detector of nuances that might escape an electronic device's attention. It certainly would be very sad indeed, if the Pinard stethoscope were not used anymore.


Here are some professional resources:

The Pinard - The midwives companion

Are we seeing the end of an era? - the death of the Pinard. Why do I say this? in the latest clinical guidelines for Intrapartum Fetal surveillance (2006) The Royal Australian and New Zealand College of Obstetricians an Gynaecologists (RANZCOG)have sounded the death knock for the pinard. Guideline 7 "intermittent auscultation should be performed using Doppler ultrasound rather than a Pinard stethocope" Guideline 8 "auscultation should occur with Doppler signal on speaker mode". Since the publication of these guidelines, I have seen the disapearance of all the pinard on our labour and birth suite, which has promted me to ask the question? are we loosing the art and skill of using the pinard?
It is interesting to note that in the Confidential Enquiry into Stillbirths and Deaths in Infancy (CESDI)2005, this report recommended training for midwives and junior doctors in CTG interpretation, because errors were being made which had a detrimental effects for both woman and baby. The question is asked what about senior doctors? who monitors them? CTG monitoring is technology spreading without justifed research. 
It is a well know fact that CTG monitoring is not an exact science, however in the current litigatous climate it is the best we have and clinicans are inclined to feel protected by using this technology, even though you can have several clinicans disagreeing on the interpretation of the CTG. 
Mahomed et al. (1994, pp 497-500) conducted a randomised controlled trial on the effectiveness of differnet methods of intrapartum monitoring. They found that the doppler sonicad compared with the pinard stethoscope was better at detecting abnormalities in the fetal heart rate. They also found that the pinard was more uncomfortable for the woman.
The doppler sonicad is the electronic equivalent of the pinard and has the advantage of the woman being able to hear the babys heart rate, and further protecting the midwife against litgation (Seymoour, 1995, p 47).

So is there still a place for the pinard stethoscope? 
I would like to see midwives teaching students how to use the pinard again in conjuction with the doppler, so that we maintain the midwifery skill, you never know if technology fails we are still able to monitor the fetal heart.

References: 
Ayres-de-Campos D, et al. Inconsistencies in classification by experts of cardiotocograms and subsequent clinical decision, Br J Obs Gyn, 1999: 106; 1307-1310.
RANZCOG Intrapartum Fetal Survellance Clincial Guidelins. 2nd edition. 2006
Seymour, J. (1995). Fetal monitoring.


Adolphe Pinard (1844–1934) of Paris and intrauterine paediatric care

P M Dunn

Additional article information

Abstract

Pinard was a pioneer of modern perinatal care. His provision of social care to deprived pregnant women progressed to a recognition of the value of medical care of mother and baby before as well as after birth. The creation of antenatal departments and wards in maternity hospitals followed. He also established abdominal obstetric palpation on sound principles.

Keywords: intrauterine care, obstetrics, pregnancy, history

Adolphe Pinard was the eldest of five sons born to peasant farmers in the town of Meŕy‐sur‐Seine in the Champagne region of France. As a lad he was influenced to train in medicine by a local country doctor, Dr Bacquias. In June 1862 at the age of 18 he left for Paris. There he was helped by a cousin who, as a saddler, was responsible for supplying harnesses for the horses of the Faculté de Médecine, and also by a pharmacist in whose house he had obtained lodgings. At the medical school he got to know an anatomy aide, Farabeuf, who recognised his talent and took him under his wing, first becoming his teacher and later his collaborator in research on pelvic deformity and symphysiotomy.

On qualifying as a doctor, Pinard joined the Faculté de Médecine, and in 1871 at the age of 27 became an intern to Professor Stéphane Tarnier, the grand master of French obstetrics. His progress was rapid. Nominated agrégé in 1878 at the age of 34, he became accoucheur des hôpitaux in 1882, and finally, on the retirement of Pajot in 1890, was appointed Professor of Clinical Obstetrics in the Faculté at the age of 45 (fig 11).). In 1892 he was elected a member of the Académie de Médecine. Although eventually retiring from his distinguished leadership of the Clinique Baudelocque in 1914, he remained active right up to his death in 1934 at the age of 90.1,2,3,4

figure fn74518.f1
Figure 1 Adolphe Pinard (1844–1934).

In 1874 Pinard published his thesis on congenital malformations of the pelvis, developing his own methods of measurement using a pelvimeter and a pelvigraph. In 1873 at Tarnier's suggestion he had started to study in depth the neglected field of abdominal palpation, and in 1878 published his observations in A treatise on abdominal palpation as applied to obstetrics, and version by external manipulation.5 In this slim classic text which was translated into English and Spanish, Pinard laid down clear guidelines for abdominal palpation of the fetus, stressing the need for warm hands and the importance of an empty bladder and rectum. He wrote: " … I have endeavoured to simplify the method, to render it rational and make it rest on the exact knowledge of the various attitudes the fetus may adopt during the last month of pregnancy; i.e. the accommodation … attentive observation has shown that at the time of labour only certain parts of the fetus can present at the superior strait, and not any part as was thought for so long a time …"

Besides determining the orientation of the fetus, Pinard emphasised the value of external cephalic version to correct breech presentation, writing: " … apply one hand over the foetal head, and the other over the breech, and by gentle and sustained pressure exerted inversely over one and the other extremity, turn the two poles of the foetus … the pressure made over the breech is more efficient than that made over the head, in as much as it is more directly transmitted to the trunk" (fig 22).). At a time when the rachitic flat pelvis was a common cause of brim disproportion, Pinard also advocated using the fetal head to assess engagement in the pelvic brim in order to evaluate the cephalopelvic relationship. As was said later: "The fetal head is the best pelvimeter".

figure fn74518.f2
Figure 2 External cephalic version by Pinard.5

Until safe caesarean delivery became possible early in the 20th century, it was not uncommon for fetal destruction to be required to save the mother's life. Alternatively, labour might be induced prematurely; and difficult forceps extractions were also often required. Between 1891 and 1897, Pinard explored the operation of symphysiotomy with considerable success, showing that it was possible by this method to enlarge the pelvis by 2 cm and that later pubic reunion with a normal gait was the rule rather than the exception. He was also an early advocate of "trial of labour" and, with Varnier, was the first in 1897 to attempt x ray pelvimetry.

Pinard's research and teaching was always of practical application rather than theoretical, as had often been the case in the past. As he commented in 1881: "A number of students have become doctors without ever examining a woman or attending a birth. That is monstrous, but a fact". Besides the matters discussed above, he wrote on the control of antepartum and postpartum haemorrhage, on severe hyperemesis, on retroversion of the gravid uterus, and on tubal pregnancy. In 1895 he devised the simple obstetric stethoscope to which his name is still attached. But by far his most important contribution to midwifery and obstetrics was his advocacy of the prenatal care of mother and fetus. With his teacher, Tarnier, and his colleague Pierre Budin, he shares credit for the introduction of modern perinatal care.

In May 1891 Pinard gave a lecture at the Sorbonne on the importance of assisting destitute pregnant women and made a plea for the provision of shelters and nurseries. At the time it was customary only to provide medical care during and after delivery. The following year with the help of a French midwife, Madame Bequet, he opened a hostel (the Refuge de L'Avenue du Maine) for pregnant women who were without means. Deliveries were then conducted in the Baudelocque hospital. By 1895 he was able to show that the mothers who had been rested and looked after in the Refuge were more likely to deliver healthier and heavier babies at term. This new antenatal approach also provided the opportunity for checking mothers for disproportion, correcting malpresentations, detecting renal problems, etc, and attempting to ensure the normal development of the fetus—what Pinard termed "la puericulture intrautérine". This in turn was followed by "extrauterine puericulture", ensuring maternal and infant hygiene and insisting on non‐separation of mother and baby and on breast feeding. Gradually, other hostels opened, and then antenatal departments and wards in maternity hospitals. In the United Kingdom, the first similar type of hostel was opened by Dr Haig Ferguson in Edinburgh in 1899 and the first "pre‐maternity ward" by Ballantyne in 1902, also in Edinburgh.6 Thus what began as a social project developed over time into the routine antenatal care of all pregnant women. Pinard himself never stopped pushing this project, at the same time begging the authorities for the creation of a teaching centre for paediatric care that "would have as its object to complete the education of future physicians in hygiene and preventive medicine for babies and to form a corps of especially competent visiting nurses capable of becoming the best colleagues of these specialists". In January 1920 such an institution was eventually founded with funds raised by public subscription and by an endowment from the American Red Cross: "The School of Paediatric Care in the Faculté de Medécine". Professor Pinard was entrusted with its direction. In 1921 the Board of Higher Education for Public Instruction in France authorised the school to grant a university diploma to physicians and nurses who had taken its courses. Within 10 years new enlarged quarters were required, and in 1933 a splendid new institute was opened by Pinard on the Boulevard Brune. The government, as a sign of its gratitude, presented him with the insignia of an officer of the Legion of Honour.

The citizens of Pinard's home town, Méry‐sur‐Seine, elected him mayor, and he oversaw many improvements in sanitation, maintenance and beautification of buildings, and the provision of schools and a reading club. In 1924 he was elected to Parliament at the Palais Bourbon. In spite of a distaste for the manners of his fellow parliamentarians, he was prepared to further his fight to protect pregnant women and to improve paediatric care.

When a young student, Pinard had experienced the disasters of the Franco‐Prussian war in 1870. He loved his country, and in 1914, although now retired aged 68, put on his blue army uniform, and, at its end five years later, attended the victory march in Paris. Sadly during the war he had lost his dearly loved son. What more can be said of this remarkable man? He has been described as immensely hard working and as a scientist indefatigable in his search for the truth. He was generous and devoted to the sick. As a teacher he inspired his audience by the clarity and enthusiasm of his lectures. His calling card read: "Dr Pinard, puericulteur". The term accurately commemorates this great figure of French medicine.

Article information

Arch Dis Child Fetal Neonatal Ed. May 2006; 91(3): F231–F232.
PMCID: PMC2672711
Correspondence to: Professor Dunn
Department of Child Health, University of Bristol, Southmead Hospital, Southmead, Bristol BS10 5BN, UK; P.M.Dunn@bristol.ac.uk
Accepted February 25, 2005.
Articles from Archives of Disease in Childhood. Fetal and Neonatal Edition are provided here courtesy of BMJ Group

References

1. Auvray M. Adolphe Pinard (1844–1934). Transl from Bulletin de la Société d'Obstétrique et de Gynécologie de Paris 1934;23:335–42. Classics of obstetrics and gynecology library. New York: Gryphon Editions, 1995
2. Baskett T F. On the shoulders of giants: eponyms and names in obstetrics and gynaecology. London: RCOG Press, 1996
3. Dumont M. Le Cent‐cinquantenaire de la naissance d'Adolphe Pinard (1844–1934). J Gynecol Obstet Biol Reprod 1994. 23351–357.357 [PubMed]
4. In: Papiernik E, Relier J‐P, eds. A hundred years of puericulture at Port Royal. Paris: Proceedings of a conference on 20th October, 1995
5. Pinard A. A treatise on abdominal palpation as applied to obstetrics, and version by external manipulations. Paris, 1878. Transl by Neale LE. New York: JH Vail & Co, 1885
6. O'Dowd M J, Philipp E E. The history of obstetrics and gynaecology. London: The Parthenon Publishing Co, 1994


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