Selective treatment of antepartum hemorrhage

Abstract

1.1. There are presented the results of selective treatment of 191 cases of placenta previa with a mortality of 2.6 per cent, and 139 cases of accidental hemorrhage with a mortality of 2.9 per cent.2.2. These results, we believe, are comparable to those obtained by routine section in the treatment of these conditions and may avoid the additional risk of subsequent pregnancies by patients who have undergone cesarean section.3.3. All cases of antepartum hemorrhage should be treated in the hospital if at all possible, and as the diagnosis cannot always be accurately made when the first bleeding is only slight, this will entail hospitalizing patients who may subsequently be proved to have neither placenta previa nor accidental hemorrhage.4.4. In most emergencies of medical practice, where special skill is not available, conservative measures of treatment are usually in the best interests of the patient, but in placenta previa and probably in accidental hemorrhage, if skilled judgment is not available, radical method of treatment, namely cesarean section, is probably advisable.