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September 20, 1947


JAMA. 1947;135(3):142-144. doi:10.1001/jama.1947.02890030010003

Today, hemorrhage outranks all other single causes of maternal death in the United States. Great loss of blood is an ever-feared complication of pregnancy, and when it occurs it creates an immediate emergency which must be met promptly and effectively. It is the purpose of this paper to outline the method of blood replacement which is used at the Woman's Clinic of the New York Hospital.

There has been little clinical study of the early phases of hemorrhagic shock, while an abundance of literature exists describing experiments which have been performed on laboratory animals. Until rather recently the accepted treatment of this type of shock included use of such measures as the Trendelenburg position, oxygen, blood, plasma, dextrose and isotonic sodium chloride solutions, adrenal preparations, morphine, extremity binders and external heat. Subsequent research and clinical experience has cast doubt on the efficacy of all these forms of therapy except blood

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