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May 9, 1931


Author Affiliations


JAMA. 1931;96(19):1567-1569. doi:10.1001/jama.1931.02720450009004

Foster Kellogg1 recently reviewed the changes that have taken place at the Boston Lying-In Hospital with reference to the treatment of placenta praevia. From 1895 to 1915 the method of treatment was version and immediate extraction. The maternal mortality was 19 per cent. From 1915 to 1919, when conservative delivery, bags or Braxton Hicks version and slow delivery had considerably displaced the older method, the mortality dropped to 6 per cent. In 1926, after five years more in which conservative methods had increased from 60 per cent to 76 per cent of the total cases, Kellogg came to the conclusion that all cases of central and partial placenta praevia are best treated by low classic cesarean section, regardless of the condition of the baby; that marginal placenta praevia is best treated by the Voorhees bag; that moribund or very sick patients with placenta praevia should be rested and quieted

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