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While the routine administration of any drug, one must admit, can scarcely be considered an indication of the highest degree of scientific knowledge yet, as the practice of medicine is not, and never can become, an exact science, since the personal equation always contains an unknown quantity, vital resistance, I think we may, without violation of current practice, adopt with advantage such a procedure.
The old and apt proverb that an ounce of prevention is worth a pound of cure applies so forcibly to the employment of ergot after the termination of labor, in order to secure firm uterine muscular contractions and render them tonic, that this course would seem to be not only justifiable but actually indicated.
Were it possible to prognosticate with any measure of certainty that Mrs. A. will suffer from uterine inertia with resultant hemorrhage, while Mrs. B. will not, then the opponents of this method
BARKER TR. THE ROUTINE PRACTICE OF ADMINISTERING ERGOT AFTER THE THIRD STAGE OF LABOR. Read before the Section of Obstetrics and Diseases of Women, at the Forty-fourth Annual Meeting of the American Medical Association. JAMA. 1893;XXI(13):455–457. doi:10.1001/jama.1893.02420650021001e
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