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December 1, 1883


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JAMA. 1883;I(21):618-619. doi:10.1001/jama.1883.02390210014001b

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Mrs. W., aged 44, and mother of four living children, consulted me about March I, 1882, with reference to her expected confinement. She ceased menstruation the previous July,but having a slight show in September, since which time there had been no sign of menstruation. She is the subject of extreme prolapsus uteri, which for two years has caused the os to present at the vulva whenever she is upon her feet for a considerable time. This condition still exists. Mrs. W. is confident that she is pregnant, for she has felt motion for nearly three months, and her breasts have enlarged, appear lively and contain a fluid resembling thin breast milk. Her abdomen is not as large as usual at this period of gestation, and sometimes becomes quite small for her. At other times the distension appears to be mostly on one side—always the left. I informed the patient that

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