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March 26, 1887


JAMA. 1887;VIII(13):348-349. doi:10.1001/jama.1887.02391380012005

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At the meeting of the Obstetrical Society of Philadelphia, on February 3, Dr. H. A. Kelly, in speaking of the treatment of placenta prævia, gave the following advice: "The tampon should also be given up, for unless scientifically applied it is utterly useless; it induces great danger of sepsis, and, with the best applied tampon, in the absence of the necessary counterpressure above in the uterus, in the very cases in which it is used, the dangers of concealed hæmorrhage are imminent. If the bleeding has been great bring on active labor; but don't use the tampon."

Obstetricians who are partial to the use of the tampon in proper cases will be glad to know that

Dr. Parvin defended its use in the following language: That the tampon permits concealed hæmorrhage is an old objection which has gained nothing by time; it is a sort of bug-bear that does not

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