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May 22, 1897

THE MANAGEMENT OF LABOR BY EXTERNAL EXAMINATION.

JAMA. 1897;XXVIII(21):968-972. doi:10.1001/jama.1897.02440210010002a
Abstract

The greatest danger that threatens an obstetric case is septic infection. In comparison with this one other dangers fall into insignificance. The main channel of entrance for the septic material is the vaginal canal. It may attack any laceration or abrasion in any part of this, or simply pass through it into the uterus.

The most common carriers of infection in obstetric cases are foreign bodies introduced into the vaginal canal, such as douche points, fingers or hands, instruments, lubricants, etc. Air and auto-infection are generally admitted to be rare, and the principal factors of contact infection are those mentioned.

The principal aim of the Obstetric Staff of the Health Department should be to avoid puerperal infection in the practice of its members and to aid and assist the midwives, and perhaps other practitioners, in the avoidance of the same. While the antiseptic and aseptic eras have witnessed a most

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