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April 5, 1902

AN EMERGENCY CASE OF CESAREAN SECTION UNDER THE POSITIVE INDICATION, WITH TERMINATION IN RECOVERY.

JAMA. 1902;XXXVIII(14):875. doi:10.1001/jama.1902.62480140021002

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Abstract

Mrs. X. was admitted to the Englewood Union Hospital on the night of July 25, 1901. She had been in labor for 24 hours. The following history was elicited: Bohemian, age 30; ii-para; 5 ft. 4 in. in height; weight 120 pounds. At the birth of the second child the cervix was severely lacerated and the perineum ruptured through the sphincter ani. For a period of six weeks she suffered from septicemia. Seven months after the birth of this child she entered a hospital and underwent an operation for the repair of the cervix and perineum. This was after-ward ward shown to be an ablation of the cervix well into the lower uterine segment, and almost complete obliteration of the os uteri.

Diagnosis: An almost normal pelvis. The osseous system showed no signs of rachitis. There was no, spinal curvature and the long bones were perfect in shape and conformation. A

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