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Article
March 27, 1954

DOES VASCULAR DAMAGE FOLLOW TOXEMIA OF PREGNANCY?AN INTERNIST'S APPRAISAL OF THREE HUNDRED THREE PATIENTS IN A TOXEMIA CLINIC

JAMA. 1954;154(13):1075-1079. doi:10.1001/jama.1954.02940470027006
Abstract

In July, 1952, in conjunction with the obstetric department, a toxemia clinic was instituted at the Gallinger Municipal Hospital. The main reason for organizing the clinic was to find out what happened to toxemia patients after they left the hospital. How beneficial was our hospital therapy? Did vascular damage follow toxemia? It soon became apparent, however, that here was an excellent opportunity to study the patient with toxemia from the onset of toxemia symptoms in midpregnancy, throughout the remainder of her pregnancy, then in the hospital, and finally back in the toxemia clinic until all signs and symptoms of toxemia had disappeared. For this reason, then, at the first sign or symptom of toxemia, the patient was transferred from the regular prenatal clinic to the toxemia clinic, where she was seen once a week until term or until hospitalization was advised. Post partum, the patient was seen at three weeks,

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