RT Journal
A1 REED CB
T1 ADherent placenta.
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1899
FD May 6
VO XXXII
IS 18
SP 971
OP 975
DO 10.1001/jama.1899.92450450011001c
UL http://dx.doi.org/10.1001/jama.1899.92450450011001c
AB In a series of observations published on the third stage of labor where the placenta was delivered spontaneously, the time required for the completion of the delivery was carefully noted, and the results varied from a few minutes to thirty-six hours.With these statistics before us, it is manifestly impossible to place a definite limitation on the third stage and to assert that all cases which pass the prescribed bounds shall be regarded as pathologic, and interference undertaken. In spite of the tendency of the last few years to interfere less and less in obstetric cases without positive indications, it may be safely said that if the placenta is not spontaneously delivered within two hours after the birth of the child, some pathologic condition is present which necessitates interference.Usually the presence of hemorrhage or other symptoms will further an earlier diagnosis, and the question generally lies between two closely