We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |


Irving F. Stein, M.D.
JAMA. 1932;99(2):151. doi:10.1001/jama.1932.02740540059030.
Text Size: A A A
Published online


To the Editor:  —The case report by Dr. Harry S. Fist in The Journal, May 7, page 1635, entitled "Cesarean Uterine Sutures Passed from the Vagina" records an interesting observation but one that bears critical interpretation. Although the patient had a low-grade temperature from 100.6 to 100.8 F. from the second to the seventh day, during which time the lochia were normal, she passed a mass containing the uterine sutures on the eleventh day. This was a necrotic slough. One would like to know how the wound edges were handled before the sutures were placed, whether hemostats or other crushing instruments were used on the uterine incision to control bleeding or to hold the edges in position for suturing.The indictment of the continuous suture made by the author is not warranted by his single case, as many obstetricians have used continuous sutures with success. I have used continuous sutures


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.