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December 1923


Author Affiliations

Associate in Obstetrics, Washington University Medical School ST. LOUIS

Am J Dis Child. 1923;26(6):503-514. doi:10.1001/archpedi.1923.04120180002001

An understanding of the causation of intracranial birth hemorrhages, while admittedly important for diagnosis and treatment, is essential for the far more urgent problem of their prevention. Under prevailing conditions, the task of diagnosis and treatment in the main rests with pediatrician and surgeon. The question of prophylaxis, for evident reasons, concerns most of all the obstetrician.

This relative difference of interest in the problem of intracranial birth trauma on the part of the obstetrician, on the one hand, and the pediatrician on the other, finds its expression in the extensive literature of the past decade on this subject. Obstetricians, naturally, have the better opportunity of observing and studying the immediate and especially the mechanical causes of such injuries. They apparently have succeeded in revealing the exact mechanism in the origin of most of the more common types of cranial and intracranial lesions sustained by the child in the course