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From the Department of Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia; and the Department of Anaesthesia, Prince County Hospital, Summerside, Prince Edward Island, Canada.
Address reprint requests to: Thomas F. Baskett, MB, FRCSC Department of Obstetrics and Gynaecology Dalhousie University 5980 University Avenue Halifax, Nova Scotia B3J 3G9 Canada
For 30 years, from 1827 to 1857, Dr. John Mackieson, a medical practitioner in Charlottetown, Prince Edward Island, Canada, kept a detailed account of complicated obstetric cases. An analysis of this casebook provides a unique profile of obstetric complications and their management in eastern Canada 150 years ago. The main causes of maternal death were puerperal sepsis and hemorrhage. The reported perinatal deaths most often were associated with traumatic vaginal delivery.
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