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Today, when a cultural and sanitary unity of all countries of the American hemisphere is of fundamental interest, this monographic study is most timely, for in it the reader will find detailed statistics on maternal mortality in the largest Latin American metropolis during the last four decades and an accurate analysis of the reasons for its sharp decline—from 22.16 per thousand deliveries in 1901 to 3.37 per thousand in 1940. The greatest drop is due to the controlling of trauma and toxemia and, to a lesser extent, of hemorrhage and infection. For instance, death as a result of obstetric trauma was reduced from 6.65 to 0.81 per thousand, that due to infection from 6.17 to 2.82 per thousand. All the other contributing factors, such as nationality, evolution of gestation, pelvic deformities and length of labor, are carefully analyzed. Tables and graphs add a great deal to the clarity of the
Mortalidad materna: Estudio sobre 61,684 partos ocurridos en la Clínica "Eliseo Canton" [años 1901 a 1940]. JAMA. 1943;122(3):207. doi:10.1001/jama.1943.02840200063033
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