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April 30, 1904


Author Affiliations

Surgeon-In-Chief, German Hospital. PHILADELPHIA.

JAMA. 1904;XLII(18):1115-1117. doi:10.1001/jama.1904.92490630001001

Resort to cesarean section as a means of delivery for a patient with placenta previa is still a sufficiently rare procedure to make the history and result of every case a matter of general interest.

For conservative cesarean section for other conditions the mortality for the mother is about 10 per cent., and that for the fetus from 5 to 10 per cent. The mortality for the mother with placenta previa, treated by means other than cesarean section, is about 11 per cent., while the fetal mortality is from 45 to 50 per cent. Gillette1 collected 216 cases of placenta previa, of which 34 mothers and 96 fetuses died, being 15.3 per cent. and 44.3 per cent., respectively. Schauta2 reported from his clinic 234 cases, 16 mothers (6.8 per cent.) and 127 fetuses (54.3 per cent.) perishing.

The conservative methods of packing the vagina with gauze or with the dying

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