[Skip to Content]
[Skip to Content Landing]
May 24, 1919


JAMA. 1919;72(21):1543. doi:10.1001/jama.1919.26110210001013

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


I desire to present a procedure for the expulsion of the placenta. Physicians in general have accepted the dictum that the third stage of labor should be allowed to develop naturally, and that no attempt should be made to express the placenta until separation has occurred, provided there is no hemorrhage.

The interval between the birth of the child and the moment of expression of the placenta is still being handled in different fashion, according to the teachings of various clinics, ranging from the absolutely let alone policy of Leopold, who insists that the abdomen should be left untouched following the birth of the child, if need be for twenty-four hours, leaving the expression of the placenta absolutely to the natural powers of the woman; to the other extreme, which consists in grasping the fundus, and as soon as contractions have appeared or have been called forth by massage, to

First Page Preview View Large
First page PDF preview
First page PDF preview