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September 8, 1945

The Management of Obstetric Difficulties

JAMA. 1945;129(2):175. doi:10.1001/jama.1945.02860360077033

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This edition, which is slightly larger than the previous one, contains a number of additions and changes, particularly in the chapters on sterility, antepartum care and management of pregnancy, labor and the puerperium. The chapters on x-rays, pelvimetry, toxemia, intravenous infusions and blood transfusions have been rewritten, and sections on caudal anesthesia and penicillin have been added. The reviewer still is of the opinion that the section on sterility (almost eighty pages) does not properly belong in a textbook dealing with "obstetric difficulties." In this section figure 46, which illustrates artificial insemination, shows the tip of the syringe at or beyond the internal os. Injection of semen this high up may lead to trouble. Many other illustrations deal with gynecologic subjects not obstetric ones such as condylomas, coagulation of Skene's glands and Bartholin gland abscess and its treatment by coagulation and surgical removal. Likewise the nine pages describing and illustrating

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