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The prevalence of epidemic encephalitis in acute and chronic forms has of necessity attracted the attention of many workers, as all fields of medicine are more or less encroached on by the multiform manifestations of this protean disease. This book deals with the points of contact with obstetrics. In the literature the author has found mention of 171 cases of acute encephalitis and twenty-three of the chronic form occurring during pregnancy or the puerperium, and he adds forty cases secured from hospital records. He admits that the conclusions to some extent are disappointing, largely negative, and partly vague. In a general way, pregnancy and the puerperium do not influence the susceptibility to the disease or its course and prognosis. Labor is usually painless, and the puerperium is sometimes modified by the occurrence of urinary retention. In early pregnancy miscarriage is uncommon, but premature labor is prone to occur with infections
Epidemci Encephalitis in Association with Pregnancy, Labour and the Puerperium.. JAMA. 1929;92(17):1475. doi:10.1001/jama.1929.02700430077040