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April 9, 1938


Author Affiliations

Syracuse, N. Y.

JAMA. 1938;110(15):1209. doi:10.1001/jama.1938.02790150055026

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To the Editor:—  In a recent paper on premature separation of the placenta, Frederick C. Irving (Am. J. Obst. & Gynec.34:881 [Nov.] 1937) concluded that conservative treatment offers the best prognosis for the mother. He follows the suggestion of J. O. Polak (ibid.21:218 [Feb.] 1931), using the so-called Dublin treatment: rupture of the membranes, tight cervical and vaginal pack, and Spanish windlass.. This method was introduced at the Rotunda Maternity Hospital in Dublin many years ago. Tweedy strongly advocated this treatment in 1909. R. J. Heffernan (New England J. Med.214:370 [Feb. 20] 1936), reporting a small series of cases in 1936, also favors the pack and windlass method. However, this form of treatment has not been used at the Rotunda since 1920.When Gibbon FitzGibbon became Master of the Rotunda in 1920 he modified the treatment, introducing the method now used in Dublin: the

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