The relationship between toxemia of pregnancy and uterine sepsis from a study of 400 toxemic cases

Foster S. Kellogg
1922 American Journal of Obstetrics and Gynecology  
Jss·ista.nt in Harvard Mellicol School,· Physician to 011.t Pat-ients, Boston Lying-in Hospi.tal ' X THEN this paper was originally read before the Obstetrical Soci-I V ety of Bostun, February 24, 1920, I prefaced it with certain observations regarding toxemia of pregnancy and uterine sepsis calculated to sho\v my audience the temper in which I had approached the study of the subject. These observations were in effect that toxemia of pregnancy and uterine sepsis were the two most interesting
more » ... most interesting and baffling problems in obstetrics today. I stated that we know little 01· nothing new about toxemia of pregnancy of clinical value; that \ve have run a circle for many years in its treatment, favoring methods of elimination; that in toxemia with convulsions we have no ground for a prognos1s even; that in spite of the best of watching toxemia does occur; that in the majority of cases that die we do not know the exact cause of death. l recalled two cases recently observed, one a woman with eight or nine eonvulsions on \vhom I did a difficult vaginal cesarean section. She was in coma before and for some time after delivery, and made a good recovery. The other, the next day, was also in coma, having had one convulsion and a normal delivery, and died two hours
doi:10.1016/s0002-9378(22)90203-0 fatcat:ojp2wsc6kfbfjcwuniqdkcsvxq