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April 27, 1918


JAMA. 1918;70(17):1205-1208. doi:10.1001/jama.1918.02600170005002

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Convulsive toxemia, except in a small minority of instances, is always preventable. There are even those optimists who state that if certain measures of prevention are carried out, eclamptic convulsions will cease to exist.

Be this as it may, the symptoms of a pregnancy toxemia are readily recognizable. Witness the almost entire absence of convulsive toxemia among the antepartum patients of a maternity hospital and among patients in private practice, who are under conscientious medical observation from early pregnancy, and who faithfully follow the directions of their medical attendant. The exceptional cases that "get by," so to speak, are the fulminant cases of hepatic toxemia, with no edema, little change in the composition or output of the urine, and with convulsions following shortly on the onset of the nausea and vomiting, headache or visual disturbances.

The nausea, vomiting, headache, edema, diminished urinary output, constipation, eye symptoms, nervous symptoms, and high

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