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January 5, 1884


JAMA. 1884;II(1):23-24. doi:10.1001/jama.1884.02390260039012

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Crawfordsville, Ind., Dec. 14, 1883.

Editor of The Journal of the American Medical Association:  The article entitled " Retention of Placenta After Delivery in Uterine Pocket," on page 649, issue of Dec. 8, 1883, of your journal, raises an interesting question as to the causes of uterine pockets. I have seen cases where the entire placenta was retained after the delivery of a child by the breech, the uterus contracting down and around until it presented a regular gourd shape, and it was with difficulty I could pass my hand through the portion corresponding to the handle of the gourd to remove the placenta, which I would not find unduly adherent, but seemingly grasped in the contracted walls of the uterus. My theory was, that the head of the child pressing upon the placenta furnished the necessary resistance to prevent that portion of the uterine wall covering the placenta from contracting

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