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November 6, 1937

Tweedy's Practical Obstetrics

JAMA. 1937;109(19):1571. doi:10.1001/jama.1937.02780450075035

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The present edition contains many changes. Some recommendations made in the last edition have been revoked. For example the authors no longer recommend the cervical cesarean section for placenta praevia but now prefer the classic operation. They do not look with as much favor on twilight sleep as they formerly did. Solomons is now definitely opposed to the use of chloroform during labor. He believes that ether is the method of choice in cases of toxemia. Many obstetricians, especially American ones, are of the firm belief that the anesthetic of choice in all cases of toxemia is local anesthesia. The authors continue to advocate gastric lavage and colon flushings, but these measures have almost entirely been given up in this country. Submammary "transfusion" (infusion) is described and illustrated but it is best to avoid injecting large quantities of fluids under the breasts not only because of the immediate pain that

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