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December 13, 1913

The Difficulties and Emergencies of Obstetric Practice.

JAMA. 1913;61(24):2183. doi:10.1001/jama.1913.04350250069030

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The object of this work, as frankly set forth by its authors, is to afford practical guidance to the practitioner when he is called on to deal with the difficulties and emergencies that attend obstetric practice. The more fundamental topics, such as the physiology and the management of normal pregnancy, labor and the puerperium, are omitted, so that the volume has rather the appearance of an operative obstetrics, differing only in that its field is broader, since it takes in all the pathology of labor, even the non-surgical complications. Thus a number of the early chapters are given over to complications of labor, such as disorders of the intestinal and urinary tracts, the gall-bladder, peritoneum and spleen, the nervous system, respiratory tract, and the heart and blood. In appendicitis the author favors operation on diagnosis. Again, in gall-stones operative interference is advised except during the last two months of pregnancy.

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