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November 10, 1906


JAMA. 1906;XLVII(19):1531-1534. doi:10.1001/jama.1906.25210190011001f

The object of this paper is the consideration of the various methods of dilatation of the parturient uterus with special reference to the indications for and the results of the use of the steel dilators as a substitute for the manual methods of dilatation; particularly in those cases in which some urgent indication for the termination of pregnancy or labor is present.

In a general way the conditions which may call for a cervical dilatation may be classed under the headings of hemorrhage, toxemias of pregnancy and diseases complicated by pregnancy; and to these must be added the condition of abnormal rigidity of the cervix which nature fails to overcome unaided even after a fair trial. Various other conditions may necessitate the operation at any time, though much less commonly than the conditions named.

The various methods of dilatation which must be taken under consideration to meet these various conditions

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