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Article
June 4, 1898

A CASE OF CONGENITAL MALFORMATION OF THE HEART.

Author Affiliations

RYAN, IOWA.

JAMA. 1898;XXX(23):1332. doi:10.1001/jama.1898.72440750020002e

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Abstract

Mrs. B., was confined May 5, 1898, at 3 A.M. Ineffectual pains had persisted at intervals since 2 A.M., May 2, with partial escape of amniotic fluid at that time. It was not, however, till the evening of the 4th that the uterine contractions became regular and vigorous. The case was a brow presentation. The head was considerably deformed by pressure and a couple of minutes elapsed before respiration was established. The child's cries were weak and hoarse. It was remarked that the action of the heart was unusually vigorous. After an hour the child was left in apparently good condition.

At 5 A.M. the writer was summoned with the report that after a feeble attempt at nursing the child had died in the mother's arms while she was sleeping.

An autopsy made a few hours later showed the lungs only partially distended. The heart was normal in appearance, filled

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