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September 14, 1935


JAMA. 1935;105(11):867-868. doi:10.1001/jama.1935.02760370023009

In order to reduce maternal morbidity and mortality, any means to such an end is worthy of a just and fair trial. The results of one such attempt are herein submitted.

After an initial change in size and shape following expulsion of the placenta, the uterus undergoes but little change in the next forty-eight hours. The measurable mass above the symphysis varies from 12 to 15 cm. in width, while the canal measures 15 or 16 cm. in depth.1 The cavity is filled with blood clot, remnants of the spongy layer of the decidua and pieces of membrane. The walls of the uterus are the seat of many large patent sinuses in the various stages of collapse and thrombosis. Obviously, if this excellent bacterial habitat is reduced in size and if the fertile cultural mediums are expelled early, it does not seem unreasonable to expect a reduction in the

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