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Article
August 29, 1885

LACERATION OF THE PERINEUM.

JAMA. 1885;V(9):248-249. doi:10.1001/jama.1885.02391080024011

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Abstract

Dear Sir:  An article entitled "Laceration of Female Perineum," in a recent number of the Journal, by H. V. Sweringer, A.M., M.D., induces me to state my views on the subject, inasmuch as he recommends that this accident be left to nature, or deferred to a more convenient season, which is, in my opinion, unsurgical. His belief that that woman never lived who, at full term with her first child, did not have some laceration of the perineum or fourchette, is certainly very remarkable. I certainly have seen many lacerations, for I have for many years made a practice of making ocular examination of every case of labor as soon as the placenta has been delivered, and I am quite as certain that I have very frequently seen the fourchette escape entire in primiparæ at full time, even after the use of the forceps. Extensive laceration will sometimes occur, whether

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