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Article
September 3, 1898

GONORRHEA AS A FACTOR IN PUERPERAL FEVER.

Author Affiliations

ADJUNCT PROFESSOR OF PRACTICE OF MEDICINE, COLLEGE OF PHYSICIANS AND SURGEONS, ATTENDANT PHYSICIAN TO PROVIDENT HOSPITAL. CHICAGO.

JAMA. 1898;XXXI(10):533-535. doi:10.1001/jama.1898.92450100031002i

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Abstract

The methods which have revolutionized modern surgery as the direct results of the teachings of Lister have been more or less efficiently carried out in the practice of modern obstetrics. The new science of bacteriology and the accumulating evidences of the pathogenic nature and far-reaching effects of certain micro-organisms have invested the subject of the prophylactic, aseptic and antiseptic protection of the parturient with increasing interest and importance. Notwithstanding the advancements along these lines, the query arises, why is there not greater freedom from septic complications and fatal issues in the service of those who carry out the most approved measures in the practice of midwifery? In other words, are there not frequently sources of danger within the mother herself, antedating childbed, which ordinary methods fail to avert? I desire to emphasize the importance of these vital questions.

Since the discovery of the gonococcus which Neisser announced as the specific

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