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June 20, 1891

PREVENTION OF PUERPERAL ECLAMPSIA BY THE INDUCTION OF PREMATURE LABOR.Read in the Section of Obstetrics and Diseases of Women at the Forty-second Annual Meeting of the American Medical Association, held at Washington, D. C. May, 1891.

Author Affiliations


JAMA. 1891;XVI(25):875-878. doi:10.1001/jama.1891.02410770011001c

In February, 1883, I presented a paper to the Washington Obstetrical and Gynæcological Society on the etiology and prophylactic treatment of puerperal eclampsia, and I desire, with your permission, to quote the conclusions arrived at by a study of the subject offered at that time. They were:

Albuminuria, occurring during pregnancy, is the sign of a pathological change, or of pathological changes, indicative of a predisposition to eclampsia.

The prophylactic treatment of eclampsia, therefore, includes measures adopted to prevent the occurrence of albuminuria. These are, to improve the condition of the blood by the administration of tonics, iron, and a liberal dietary; and to relieve the renal congestion by attention to the functions of the skin and by prohibiting the wearing of tight clothing.

The urine of all pregnant women should be systematically examined for albumen after the fifth month of utero-gestation, and earlier if any suspicion be entertained of