A Study of Maternity Homes in Minnesota And Pennsylvania
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Fourteen homes detained patients in isola- tion until the fu'st examination had been made; one was not very particular about this precaution; and nine made no pretense of pro- tecting the patients already in the home from possible infection. The examination given was fairly complete; it included pelvic measurements in 23 homes, urinalysis and blood-pressure reckonings in all, routine Wassermann blood examination in 11, and Wasser- mann tests of the placental blood in 6. This was an indication o...f the effort made to insure treatment of patients with syphilis. Seven homes were careless about taking a routine vaginal smear, with the result that a patient with gonorrhea might be given the freedom of the home and other patients might be exposed to this disease. Besides the patient with gonorrhea might thus remain un- treated, not only to the harm of herself but also of her child at birth. Seventeen homes were careful about this procedure, reflecting credit upon their medical advisers. In one home it was a routine procedure to give each patient a Schick test and, if the result was positive, to immunize the patient against diphtheria with toxin-antitoxin injections.
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