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August 24, 1912


Author Affiliations

Professor of Gynecology, College of Medicine, University of Nebraska OMAHA

JAMA. 1912;LIX(8):612-614. doi:10.1001/jama.1912.04270080294008

It is my purpose to present briefly the debatable, points of interest in relation to appendicitis as a complication of pregnancy, labor and the puerperium. Obstetricians were slow to appreciate the frequency and gravity of appendicitis as a complication of pregnancy. This was so because appendicitis was not clearly recognized until Fitz, in 1886, substituted the term appendicitis for typhlitis and perityphlitis. Eight years later, Paul F. Munde1 reported three cases of appendicitis complicating pregnancy and two years later R. Abrahams added twelve cases. The clinical deductions of Munde and Abrahams are generally accepted to-day. In fact there has been little of importance that has been contributed by later writers. The most elaborate contribution to the subject is that of H. H. Schmid who collected 486 cases of appendicitis complicating pregnancy from the literature of the past twenty years.

Appendicitis occurs with greatest frequency during the child-bearing period,