Treatment of premature separation of the placenta

Concealed Accidental Haemorrhage of Pregnancy

“…In a series of 49 caesarean sections without maternal mortality Miller (1941) had extended the indication to comparatively mild cases. Falls (1934) and Bland and Rakoff (1938) maintained that surgery is supreme in the treatment of severe cases. Kellogg (1945) found that in his series maternal mortality from abdominal hysterotomy equalled that of vaginal delivery ; but half of his death rate among vaginal deliveries was made up of cases of post-partum haemorrhage.…”

“…This incidence is considerably in excess of that reported by workers in other centres (Table I). For instance, at the Queen Victoria Hospital, Baird (1936) Bland and Rakoff (1938) Brodhead (1927) Cosgrove and Conway (1941).. Crichton (all cases) Crichton (concealed only) FitzGibbon (1926) Goethals (1928) Gustafson (1945) Harrar (1932). Kraul (1937) O' Regan (1943) Polak ( Johannesburg, where the selection of admissions is comparable, the corresponding figure for concealed accidental haemorrhage is 0.04%.…”

Premature Separation of the Normally Implanted Placenta

“…According to several investigators the incidence in multiparae is three to four times as high as in primiparae. Maternal and Fatal Mortality ' Name of Author Bland and Rakoff, 1938Bretteville-Jensen, lacobaeus, 1946Kimbrough and Jones, 1948Sexton et A/., 1950Bysshe, 1951Browne, 1952Sheehan and Bieber, 1953Studdiford, 1953 With the introduction of antibiotics in the treatment of infection maternal mortality due to infection has been reduced. varies between 0.25 and 2.1 per cent.…”