The mortality from puerperal fever can be reduced to almost nothing by the proper management of labor and childbed. This has been proven by the results obtained in the best maternity hospitals. Mild cases of infection can not be entirely prevented, but they cease to be a source of great anxiety to the physician and of danger to the mother.
In private practice these encouraging results due to the aseptic management of labor are not obtained because labor is not managed aseptically. In Chicago the mortality from puerperal infection has remained about stationary for the last ten or twelve years. From 5 to 7 per cent. of all deaths of women of child-bearing age are from puerperal infection. It is probable that the same ratio holds all over the state and country. Hence it appears that puerperal infection carries off more women in the prime of life than any other