In spite of the most rigorous regard to the details of asepsis in the preparation of the patient, of the attendant's hands, and of the supplies which may directly or indirectly approach the two, the dangers of puerperal infection have not been reduced to that negligible degree which our profession should attain. Since the days of Carl Braun, various authorities have recognized the dangers accompanying vaginal examinations, have strenuously demanded the diminution of their number, and have sought means whereby such curtailment might be possible. All modern authorities are agreed that vaginal examinations, no matter with what conscientious regard to aseptic technic they are conducted, carry with them their risk of sepsis. Today it is generally recognized that abdominal palpation, aided by a proper interpretation of clinical evidences, offers as much, if not more, certitude as to the condition of the woman and progress of labor than do vaginal examinations
HOLMES RW. RECTAL AS A SUBSTITUTE FOR VAGINAL EXAMINATIONS IN LABOR. JAMA. 1915;LXV(26):2229–2232. doi:10.1001/jama.1915.02580260023008
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