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April 4, 1925


Author Affiliations

Pittsfield, Me.

JAMA. 1925;84(14):1041. doi:10.1001/jama.1925.26620400004013c

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A woman, aged 21, a primipara, at the beginning of the seventh month of pregnancy, was found to have placenta praevia. She complained of backache for two days. The os was dilated to about 25 mm. I took her to the hospital, and, soon after arrival, she had a severe hemorrhage. I immediately separated the placenta and brought the fetus down, which controlled the bleeding. Then I discovered it was a breech presentation. Pains brought the presenting part to the vulva, and first one foot appeared and then the other. When the fetus was half delivered it was alive. It was 5% inches (14 cm.) long and weighed 1½ pounds (0.7 kg.). There were no legs or thighs, the feet coming direct from the hips. Both arms were normal in length, ending in one finger, that having a nail. The eyes protruded about three-fourths inch (20 mm.), with the pupil

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