Maternal Mortality in Fifteen States ..

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In 236 cases, however, there had been a warning hemorrhage earlier in pregnancy; in 65 cases there was no report on this. The warning hemorrhage resulted in prompt treatment for the placenta previa in 18 cases, but in 216 cases treatment was delayed; in 2 cases in which there was warning hemorrhage there was no report on the promptness of treatment. Of the 104 cases of hemorrhage without warning for which the promptness of treatment was reported, 87 had prompt treatment and 14 had delayed treat...ment; 3 women died at once without time for treatment. Nine of those for whom there was no report as to warning bleeding were known, nevertheless, to have had treatment delayed. In all, 239 women were reported to have had delayed treatment. The delay was apparently due to the physician in 129 cases and due to the patient, her family, or circum- stances such as inaccessibility or difficulty in reaching a physician, in 110 cases. In 61 instances there was no report as to the promptness of treatment (table 94).

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