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September 14, 1907


Author Affiliations

Professor of Obstetrics, College of Physicians and Surgeons. ST. LOUIS.

JAMA. 1907;XLIX(11):943. doi:10.1001/jama.1907.25320110055003d

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Patient.  —Mrs. J. S., aged 28, was seen June 2, 1907, and the following history obtained:

History.  —Married in 1903, always enjoyed perfect health. No history of pelvic disease. Menstruation regular until July, 1906, when menstruation ceased. Soon the usual symptoms of pregnancy appeared. Fetal movements were manifest in December, continuing till April, 1907. About April 14, pains simulating normal labor occurred, followed by a bloody and vaginal discharge. Her physician told her the normal period for labor had not arrived and gave sufficient morphin to stop the pains. From this time all fetal activity ceased and the general health of the patient became bad. May 21 three physicians in consultation decided that the woman was not pregnant (despite her insistence to the contrary), but was suffering from abdominal dropsy, and arrangements were made to tap the abdomen the following day. This operation the patient declined. When I saw her

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