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December 1, 1923


Author Affiliations

Atlanta, Ga. Associate Professor of Obstetrics and Clinical Gynecology, Emory University School of Medicine

JAMA. 1923;81(22):1879. doi:10.1001/jama.1923.26510220005011d

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Mrs. C. P., aged 26, white, primigravida, whose family, personal and menstrual history were negative, consulted me, Aug. 19, 1922, because of pregnancy. The last menstrual period had occurred, March 22, since which time there had been no show of blood. Nausea and vomiting had begun early in May, and continued moderately severe for about two months. Fetal movements had been noticed for the past several weeks.

The patient was fairly well nourished, weighed 120 pounds (54.4 kg.), and was of average height. There was no general adenopathy and the heart and lungs were normal. The blood pressure was 110 systolic, and 65 diastolic. The abdomen was normal except for the enlargement of the uterus, which extended several centimeters above the umbilicus. Fetal movements were distinctly seen. The measurements of the inlet indicated a moderately flat type of pelvis, the diagonal conjugate measuring 11.5 cm.; but the outlet was normal.

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