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May 16, 1896


JAMA. 1896;XXVI(20):964-965. doi:10.1001/jama.1896.02430720016002a

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Mrs. H., age 30; general health fairly good; eight years ago gave birth at the eighth month to a healthy child; it lived three days. She became pregnant in about one year and at end of third month miscarried. About five years ago was called to see her for the first time. On examination found os dilated to some extent, with double laceration of cervix; most extensive on left side. Found patient had had considerable hemorrhage. Decided to prevent miscarriage if possible, as they were anxious to have children. Succeeded in stopping the hemorrhage to some extent before leaving. Was called the next morning in great haste; found her considerably prostrated from loss of blood and flowing profusely. Decided at once to dilate and deliver, which was done as rapidly as possible, but not until she was very much prostrated, being obliged to use a number of hypodermic injections of

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