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August 9, 1952


Author Affiliations

University of Maryland School of Medicine Baltimore 1, Md.

JAMA. 1952;149(15):1413. doi:10.1001/jama.1952.02930320053021

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To the Editor:—  In The Journal of June 21, 1952, there is an article by Dr. Ernest Myller titled "Control of Postpartum Hemorrhage" (page 757). In this article I am quoted as saying it is my "belief... that when the first uterine packing is not successful, the uterus is probably ruptured. If such is the case, a second packing is definitely contraindicated." This is not only a complete misquote, it is also contrary to my teaching of a number of years.The correct quotation from the source used by Dr. Myller is "... severe postpartum hemorrhage which does not respond to massage and the rather efficient oxytocic agents, when given intravenously, particularly when it occurs in the multigravida, is quite likely to be due to a partial or a complete rupture of the uterus. If this be present, packing will not only do no good, but will actually be harmful, in

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