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Fort Collins, Colo., Nov. 22, 1898.
To the Editor:
—On Nov. 7, 1898, I was called to attend Mrs. C. in confinement. Found the abdomen enormously distended, and from the size and irregular shape I diagnosed probable multiple pregnancy. In five hours I delivered her of a girl baby weighing ten and three-quarter pounds, and four hours later of a boy weighing ten pounds. Both children are strong and healthy. The girl was delivered without assistance, but the boy had to be delivered with forceps. Both were the left occipito-anterior presentation. There was but slight laceration, and aside from some rise in the temperature of the mother, during the first week, everything proceeded normally. The placentæ were separate and small. There is no history of twins in the family so far as I can learn. The patient is 20 years of age, married one year and a primapara. Fraternally,Respectfully
Kickland WA. A Pair of Large Twins.. JAMA. 1898;XXXI(23):1376. doi:10.1001/jama.1898.02450230048011