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March 5, 1898

A Rare Accident in Childbirth.

JAMA. 1898;XXX(10):564-565. doi:10.1001/jama.1898.02440620052011

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Butte, Mont., Feb. 19, 1898.

To the Editor:  —The patient, Mrs. G. H. M., aged 26 years, weight about 125 pounds, of medium height, native of Scotland, was married to her second husband seven months previously. She had twice miscarried, her last pregnancy being three years ago. She was taken in labor at full term on July 8, 1897, in the evening. She was having strong pains. Digital examination revealed only sufficient dilatation to admit point of forefinger. The waters had escaped. The presenting part could not be certainly diagnosed by vaginal touch and she was too tender and nervous for an abdominal palpation sufficiently thorough for a satisfactory diagnosis of presentation and position. The os was very rigid. After watching her for some time I noticed no progress whatever in dilatation and that she was bearing her pains very poorly. In the discharges there was not the faintest trace

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