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Article
May 20, 1905

CESAREAN SECTION FOR PLACENTA PRÆVIA AN IMPROPER PROCEDURE.THE STATISTICAL STUDY OF 25 REPORTED CASES WITH THE COMPARATIVE MORTALITIES OF 1,257 CASES OF CESAREAN SECTION AND 4,731 CASES OF PLACENTA PRÆVIA TREATED OBSTETRICALLY.

JAMA. 1905;XLIV(20):1594-1602. doi:10.1001/jama.1905.92500470022001d
Abstract

On account of the marvelous results obtained by asepsis and antisepsis, and by the safe administration of anesthetics, obstetrics is becoming an inviting field for surgical intervention. Indeed, operative obstetrics has so broadened in the past decade that now the care of parturient women is a distinct surgical specialty, and its wealth of literature vies with that of other specialties. In fact, in certain directions, it almost seems as if the furor operativus which swayed the ovariotomist one and two decades ago, has seized those who come in contact with pregnant and parturient women. Operations which are safe and expedient when performed for one type of indications are applied erroneously to complications of a very different sort; deductions made from one class of cases are fallaciously made to fit another without due consideration of the consequences. The application of the Cesarean section to placenta prævia comes within this category. It is folly to compare the results of Cesarean section for a contracted pelvis with those of placenta

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