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November 7, 1936


Author Affiliations


From the Department of Obstetrics, University of Tennessee College of Medicine and from the John Gaston Memorial Hospital.

JAMA. 1936;107(19):1527-1531. doi:10.1001/jama.1936.02770450011003

The better method of treatment of abortion is still a controversial question. This lack of accord contributes its share to the one third of all obstetric deaths resulting from abortion. In the obstetric service from 1933 through 1935, since the majority of deaths followed infection from criminal abortion, it was apparent that criminal induction bore a definite relationship to the death rate. Criminal abortion is definitely on the increase, for criminal induction was admitted in 17 per cent of the 707 cases studied. It is safe to assume that an additional 10 per cent may be added conservatively (table 1).

Self instrumentation superseded those abortions induced by physicians. Use of the catheter and instrumentation were the most common methods employed and were done mainly by white patients. Self instrumentation demonstrates that the seriousness of this procedure is not generally appreciated. It is apparent that the Negro is ignorant of the

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