JAMA. 1903;XLI(18):1073-1075. doi:10.1001/jama.1903.92490370015001d.
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One of the most important functions devolving on the accoucheur is the management of the nursing breast, a responsibility too often shirked, either from indifference, carelessness or ignorance of the physiologic processes involved—a deviation from which may give rise to great physical suffering and lead to disastrous consequences.

It is now universally conceded that all of the more serious disorders of the functioning mammary gland are the result of microbic invasion, the morbific germs gaining entrance to the lobes and interglandular connective tissue either through the ducts, more rarely, or generally through cracks and abrasions of the nipples and surrounding areolæ. Septic material may readily be conveyed by the hands of the patient or an untidy nurse to the wounded surfaces, while the increased vascularity of the breasts and their augmented lymphatic circulation during the inauguration of the secretory function render these glands peculiarly susceptible to the


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