The prevention of pelvic disease during and after labor consists in the avoidance of infection and traumatism. Infection is frequently the almost necessary result of traumatism, but traumatism without regard to infection is frequently followed by more or less serious pelvic disturbances.
During the course of an otherwise normal delivery, the great danger to the mother is from infectioncarried in from without. No modern physician, I take it, believes in auto-infection, that is, in any infection arising from within the pelvis. A chronic disease of the appendix, or of the appendages, may be lighted up by the process of delivery, but no pelvic disease will be initiated except by infection from without. This infection may be introduced in a variety of ways. The very latest bacteriological investigations have shown conclusively that the secretions of the upper part of the vagina are entirely sterile. It is not until they
BALDWIN JF. THE PREVENTION OF PELVIC DISEASE DURING AND AFTER LABOR. JAMA. 1902;XXXVIII(7):437–440. doi:10.1001/jama.1902.62480070003001a
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