Abstract

A primipara, aged 23 years, was delivered with forceps after six hours in labor, on Nov. 26, 1900. On the third day, after a slight chill, the temperature rose to 103 F. The uterine cavity was douched with a mild antiseptic solution. Failing to get a result from this procedure, the curette was employed, and thereafter daily intra-uterine douchings. On December 5, the sixth day of the fever, I saw the case in consultation. Temperature was 100, and the pulse 120, irregular and weak. The fundus of the uterus was midway between the symphysis pubis and the umbilicus. There was no tympanites and but little tenderness of the abdomen. A deep laceration of the perineum, which had been repaired after delivery, but opened again, and the torn surfaces of the cervix (right lateral tear) were covered with a grayish slough, which in appearance was not unlike that of diphtheric origin.

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