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In this small volume, written first for his students and revised for general practitioners, Professor Goodall embodies the results of twenty-eight years of clinical experience and inquiry. In general his views on the causative agents and the pathology of puerperal infection correspond to those of modern obstetricians. In two things he differs somewhat from the usual teaching. He discards the term "sapremia" and makes no attempt to distinguish between wound intoxication and wound infection. While saprophytes or avirulent bacteria may sometimes assume a parasitic rôle or become virulent, it is true, nevertheless, that the picture of an ordinary sapremia due to the decomposition of retained blood clots, placental débris, and especially remanants of incomplete abortions, is quite different from that of an infection. The disease condition requires a different treatment, so that it is desirable to call particular attention to it. Sapremia is generally associated with stoppage of the lochia,
Puerperal Infection.. JAMA. 1932;99(16):1377. doi:10.1001/jama.1932.02740680073035