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Article
October 7, 1933

MANAGEMENT OF THE THIRD STAGE OF LABOR

Author Affiliations

KANSAS CITY, MO.
From the Department of Obstetrics and Gynecology of the University of Kansas School of Medicine.

JAMA. 1933;101(15):1128-1131. doi:10.1001/jama.1933.02740400014004
Abstract

The proper management of the third stage of labor has received comparatively little real investigation either by research workers or by clinicians. Numerous studies of postpartum hemorrhage have been made, and considerable progress toward prevention and improved treatment has resulted. Almost without exception, however, various writers have failed to recognize that a large proportion of all obstetric patients offers the opportunity to prevent moderate hemorrhage. One textbook on obstetrics lists some twenty-five possible causes for postpartum hemorrhage and then goes on to say that a fairly large proportion of cases of hemorrhage does not fall into any one of these twenty-five categories. In other words, hemorrhages can and do occur in the absence of any one of the known causes. Moreover, a comparatively large loss of blood (not enough to be classified as "hemorrhage") is frequently passed by without much thought as to its etiology. There can be but one

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