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November 12, 1938

The Prevention of Puerperal Sepsis

JAMA. 1938;111(20):1872. doi:10.1001/jama.1938.02790460066023

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Abstract

This booklet consists of reprints of the two articles whose titles appear in the caption. These articles were published in the Journal of Obstetrics and Gynaecology of the British Empire in 1933 and 1936. The authors express opinions which have been recognized and accepted by many observers since the time of Gordon, Semmelweis and Holmes. That puerperal sepsis is essentially a contact infection has been almost universally accepted. While some have stressed the possibility of so-called autogenous infection, most authorities have continued to believe that such infection is the exception and not the rule. That some variety of streptococcus is responsible for most of the fatal cases of puerperal infection has been known since the time of Pasteur. The authors have added further proof of the correctness of certain principles which have been established and practiced by many clinicians and in well conducted maternity hospitals. One great difficulty has been

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