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March 12, 1892


Author Affiliations

Demonstrator of Obstetrics in the Medico-Chirurgical College, Philadelphia; Out-Door Obstetrician to the Penn Dispensary.

JAMA. 1892;XVIII(11):313-314. doi:10.1001/jama.1892.02411150003001a

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In presenting this paper it is not the intention of the author to attempt to undermine the "golden rules" of the obstetric art, but rather to call attention to the exceptions and limitations which hedge them in and which, unless borne in mind, are certain to result disastrously to both patient and physician. Theory, 'tis well said, may be likened to the chaff which is blown hither and thither by every passing breeze, while practice is the golden grain that springs into life wherever it falls. Yet, let us not discard as worthless these husks, for they serve a good purpose in protecting the unripe fruit stored up within them, and besides are useful in feeding the flame of scientific research. The one rule upon which, perhaps, more stress has been laid in the department of obstetrics than any other is: "In cases of labor attended with severe hæmorrhage during

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