INDICATIONS FOR THERAPEUTIC STERILIZATION IN OBSTETRICS

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Abstract
I faced the first part of this problem in 1920, when I reported to the Obstetrical Society of Philadelphia forty-four cases in which I considered that sterilization was essential to the well being of my patients. On this occasion I shall report seventy-four additional operations, making a total of 118 sterilizations performed in 33,000 women admitted to the obstetric service of the Johns Hopkins Hospital up to July 1, 1928—in other words, one sterilization to every 282 admissions, or an incidence of slightly more than one-third per cent. It must be understood that the 118 cases include only those in which sterilization constituted an essential feature of the intervention, and take no account of cases in which it was unavoidably associated with the removal of the uterus or its appendages at infected cesarean section, for myomas, for uterine apoplexy associated with premature separation of the placenta, for ruptured uterus, etc.,

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