TY - JOUR T1 - THe bacteriology of the female genital tract before and after childbirth Y1 - 1909/03/20 N1 - 10.1001/jama.1909.02540380032004 JO - Journal of the American Medical Association SP - 966 EP - 967 VL - LII IS - 12 N2 - The question as to the part played by autoinfeetion in puerperal fever has received much attention during the last twenty years or so. The many and extensive investigations devoted to the solution of the question indicate at once the difficulty of its solution and the significance attached to it. Naturally, the object in view has been and is the establishment of a rational prophylaxis of puerperal fever.It appears to be agreed that puerperal fever may arise from autoinfection, but opinions differ as to the precise meaning of the word autoinfection in this case. Some would limit autoinfection to infection with microbes present in the vagina during birth. For many years Ahlfeld has urged that puerperal autoinfection should include all those cases of puerperal infection in which hands, instruments, dressings, have no part, the infecting germs coming either from the external or internal genitalia SN - 0002-9955 M3 - doi: 10.1001/jama.1909.02540380032004 UR - http://dx.doi.org/10.1001/jama.1909.02540380032004 ER -