File:Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year (1920) (14593484779).jpg

Identifier: transactionsofam3319amer (find matches)
Title: Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ...
Year: 1920 (1920s)
Authors: American Association of Obstetricians, Gynecologists, and Abdominal Surgeons
Subjects: Gynecology Obstetrics Gynecology Obstetrics
Publisher: St. Louis : C.V. Mosby
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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to come away by putrefaction as safer than manipulationof any kind. Not one physician in one thousand would seriously consider leavingthe bedside of a patient for more than a few moments in a case of laborat term, until the placenta was delivered. The placenta has as cer-tainly lost its function in the case of abortion, as in a case of laborat term. If allowed to remain after abortion, this is only an admissionon the part of the surgeon that he cannot safely remove it. Failureto remove the placenta following labor at term would by most physi-cians be considered criminal. The surgeon should, can, and usually does, prevent infection inwounds elsewhere; he should do equally clean work here and give hispatient protection against infection by emptying the uterus at onceand thus save her from the dangers of death, prolonged illness, perma-nently impaired health and sterility. I am convinced that the uteruscan always be safely emptied if done promptly, before putrefactive 289 290 C. E. RUTH
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Fig. 2.—Diagrammatic sketch of uterus in early months of pregnancy, showing globular character. DETACHMENT OF ADHERENT PLACENTAE IN ABORTION 291 changes have begun, accompanied by pyrexia, septicemia and abscess-formation. The method presented to )rou herewith is not an untried procedure,but one I have used for thirty years. I have tested it to my entiresatisfaction before asking consideration by the profession. The body of the uterus in the early months of normal pregnancy,being almost perfectly spherical with the neck of from one to one andone-half inches in length, it follows that any appliance to be of servicein detaching an adherent placenta, must be capable of application to

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