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Article
April 8, 1905

HEPATIC INSUFFICIENCY IN OBSTETRIC PRACTICE.

JAMA. 1905;XLIV(14):1077-1080. doi:10.1001/jama.1905.92500410001001
Abstract

Notwithstanding the indifference of some and the antagonism of others, there is no doubt that a belief in the existence of a special autointoxication of pregnancy is rapidly gaining ground among obstetricians, pathologists and others whose attention is being especially directed to this subject. The more one studies this subject the more one is inclined to believe in the existence of such a condition, and already many obscure points in obstetrics are being made clear by this doctrine.

Although the literature is already very large—for it dates far back beyond the adoption of the term "toxemia of pregnancy"—the subject is still in its intancy. and many phases are as yet untouched.1

We all know that in prescientific days puerperal morbidity and mortality were fearfully common, and were largely ascribed to some specific cause, whether contagious or not. In other words, the various phases of puerperal morbidity, while differing much from

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