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THE CONSERVATIVE TREATMENT OF PREMATURE SEPARATION OF THE NORMALLY IMPLANTED PLACENTA:  A Study of 293 Cases

JOHN R. McCAIN, M.D.; SAMUEL R. POLIAKOFF, M.D.
JAMA. 1949;141(8):513-518. doi:10.1001/jama.1949.02910080013005.
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Premature separation of the placenta has been treated conservatively for the past twenty years by the Department of Obstetrics and Gynecology of Emory University at Grady Memorial Hospital. From October 1928 through September 1948 in 47,066 deliveries we diagnosed premature separation in 293 cases, an incidence of 1: 161. The management of these cases has not been modified by the severity of the condition in the mother or by the viability of the fetus. For this reason it is felt that the results of our study should afford a good basis for the evaluation of the conservative plan of therapy.

The management of these patients was under the supervision of Dr. James R. McCord until he retired in 1945. The conservative treatment used by our department was outlined by Bartholomew in 1929.1 This plan has been based on spontaneous vaginal delivery. Labor has been induced or stimulated by the artificial

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