Placenta prævia in its manifestations and in its combined mortality of mother and child is the most appalling complication of pregnancy. In its management the courage, judgment and knowledge of the obstetrician will be taxed to their uttermost. It behooves him, therefore, to be prepared for every contingency of this multifarious condition. To paraphrase a paraphrase of Addison, she who has a hesitating physician is lost.
Within the brief period of three months I have seen four cases of total placenta prævia.
—This case occurred in the practice of Dr. S. E. Simmons and formed the basis of a paper read by him before the Sacramento Society for Medical Improvement. In this paper he laid particular emphasis on the importance of early diagnosis, insisting that every pregnant woman should be carefully examined with special reference to this condition as early as the sixth or seventh month.
BRIGGS WA. CESAREAN SECTION IN THE TREATMENT OF PLACENTA PRÆVIA. JAMA. 1906;XLVI(19):1426–1428. doi:10.1001/jama.1906.62510460020001e
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