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November 1, 1913


Author Affiliations

New York Assistant Physician to the Outpatient Department, Bellevue Hospital

JAMA. 1913;61(18):1629. doi:10.1001/jama.1913.04350190047019

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From the point of view of the general practitioner, prolapsed cord is a serious complication and one which is liable to be met at any time. The following case is therefore of sufficient importance and interest, I believe, to justify its report. The patient, Lena C., a primipara aged 20, was examined during the eighth month and found to be in normal condition. She went into labor at term about 9 p. m. Labor progressed favorably until 10:45 the following morning, when the membranes ruptured. The patient was immediately put to bed, and it was noted that the cord was in the vagina. The knee-chest position was immediately assumed, and an unsuccessful attempt at replacing the cord was made. Cord pulsation was 132 and fairly strong. The patient was instructed to remain in the knee-chest position. Morphin was given, and assistance sent for. Following a second injection of morphin the

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