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July 16, 1904


Author Affiliations

Professor of Obstetrics, New York Post-Graduate Medical School and Hospital. NEW YORK CITY.

JAMA. 1904;XLIII(3):199. doi:10.1001/jama.1904.92500030004a

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Among the very rare causes of dystocia we find fetal ascites. The condition of ascites in itself is rare enough to be of great interest, but there are comparatively few cases recorded in which the amount of fluid was so great as to cause serious difficulty at the time of labor. The history of the case is of unusual interest from the fact that the complication occurred very early in pregnancy, gestation having advanced to a period between five and one-half and six months.

History.  —The patient, a primipara, 18 years of age, native of Germany, was first seen in the first stage of labor in the outdoor service of the Post-Graduate Hospital. The history of the patient, prior to the date of her pregnancy, was absolutely normal, and no history of syphilis could be obtained. ' Her height was about 4 2/3 feet and weight about 96 pounds.

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