Abstract

I am not unaware that much time and attention have been given to the subject of placenta praevia, but the high rate of mortality that has obtained among the mothers and the children, whatever method of treatment employed, is sufficient apology for bringing the subject before this Association. During four years in the Leipzig clinic, Oberman had sixty four cases. The mortality of the mothers was eleven per cent. That of the children fifty three per cent. The treatment employed was Hofmeier's, or as it is sometimes called, the Berlin method. Version combined with external and internal manipulation was employed in cases which were attended with haemorrhage. The head of the child was brought to the os uteri, and maintained there as a tampon. Massage of the fundus uteri was employed during extraction. Iodoform tampons are advised only in haemorrhagic cases arising in the earlier stages

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