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August 3, 1893 I was called to see Mrs. P., aged 30 years, in her fourth pregnancy. She had had previously one abortion, and I had performed craniotomy in two preceding labors on account of a contraction of the pelvis. Its conjugate diameter was but two and a half inches. I decided not to destroy this, the fourth child, and the mother consented to an operation. I operated on the morning of August 4, assisted by Drs. Sweet and Bryant. Every antiseptic detail was carried out. I made an incision to the peritoneum, through the abdominal wall in the median line, from 4 inches above the umbilicus to within 2 inches of the pubes. The peritoneum was opened on a grooved director with scissors and the uterus lifted bodily outside the abdominal cavity and wrapped in hot antiseptic towels. The upper part of the wound was temporarily closed with silver
COAKLEY JW. CESAREAN SECTION THREE TIMES IN THE SAME PERSON IN SIX AND ONE-HALF YEARS.. JAMA. 1901;XXXVI(26):1831. doi:10.1001/jama.1901.52470260009003a