Meigs returned to Georgia for a brief time to practice medicine, however his wife insisted they return to Philadelphia due to her disgust at the harsh treatment of enslaved people in that state. In 1826, he worked as an editor for
The North American Medical and Surgical Journal and in 1838, published his own book,
Philadelphia Practice of Midwifery. He studied German and became proficient enough to read the papers of important German obstetricians. In 1832, Meigs received a silver pitcher from the
Philadelphia City Council in recognition for his role in treating the cholera epidemic that hit the city. Meigs applied for the chair of midwifery at the University of Pennsylvania after the retirement of
William Potts Dewees, but lost out to another candidate. In 1841, he became chair of obstetrics and diseases of women at
Jefferson Medical College, until his retirement in 1861. He was incorrect in his views on two of the major advances in obstetrics in the 19th century, the usage of anesthesia and sanitary practices to prevent the transmission of postpartum infections. In 1856, he warned against the morally "doubtful nature of any process that the physicians set up to contravene the operations of those natural and physiological forces that the Divinity has ordained us to enjoy or to suffer". These beliefs resulted in his treatment of multiple women throughout the day without washing equipment or his hands between patients. He was known to wear the same medical frock all day no matter how soiled it became. ==Personal life==