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September 13, 1952


Author Affiliations

Rock Island, Ill.

JAMA. 1952;150(2):93-95. doi:10.1001/jama.1952.63680020002007a

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A woman, aged 29, was first seen on June 13, 1951, at which time she stated that her last menstrual period was on Dec. 19, 1950, giving the estimated date of confinement as Sept. 25, 1951. The pregnancy had been uneventful, with no nausea or vomiting, no bleeding, and no symptoms of abnormality. At the first examination, a blood Kahn test was negative, the blood cell count was within normal limits, and the urine was normal. She stated that she had gained 18 lb. (8.2 kg.). Examination of the abdomen disclosed the possibility of twins, with one in a transverse position, and a fetal heart tone of 135. Only one fetal heart tone was heard, owing to the hydramnios present.

The patient was admitted to St. Anthony's Hospital on Sept. 16, 1951, at 3 a. m., at which time examination showed a blood pressure of 140/90 mm. Hg. The fetal

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