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January 7, 1911

THE SURGICAL TREATMENT OF ECLAMPSIA

JAMA. 1911;LVI(1):13-16. doi:10.1001/jama.1911.02560010015004
Abstract

There seems, at this time, to be hardly any question but that women suffering from eclampsia do better if the uterus is emptied promptly on the appearance of convulsions. Carl Braun emphasized the fact that the convulsions ceased or became less severe after delivery. Dührssen showed that in 93.75 per cent., and Olshausen that in 85 per cent, such a result followed. Seitz, in a very large collection of statistics, proves it conclusively. If further proof were needed, Winter brought it, in 1909. at the congress in Budapest, where he showed that of twenty patients delivered before they had had six convulsions not one died, and in thirty-two cases, only three women were lost, while by a waiting policy, the mortalities were much greater, as follows:

  • Eclamptics treated expectantly with spontaneous labor, 8; mortality, 40 per cent.

  • Eclamptics, with expectancy till os was fully dilated, 19; mortality, 30 per cent.

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