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September 7, 1901

THE NATURE AND THE CAUSE OF PUERPERAL ECLAMPSIA.

JAMA. 1901;XXXVII(10):646-647. doi:10.1001/jama.1901.02470360038003
Abstract

At the Ninth Congress of German Gynecologists at Giessen, May-29-31, 1901, eclampsia constituted one of the subjects for an exhaustive general discussion, which was introduced by Fehling and Ryder.1 Inasmuch as this discussion probably represents quite fully the present views concerning the nature and cause of eclampsia it may be of some interest to briefly review the principal facts and opinions brought out.

In his report on the pathogenesis Fehling announced the following theses: Puerperal eclampsia is a distinct and characteristic process, which occurs only in the period of gestation. There is no special form of placenta, no special form of renal or hepatic disease in eclampsia; it is not necessarily connected with ureteral dilatation, but albuminuria is almost always present. There is no definite pathological anatomy of eclampsia. That it is contagious has not been shown, and there is no proof of Bouchard's claims that it is

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