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January 19, 1884


JAMA. 1884;II(3):62. doi:10.1001/jama.1884.02390280006001a

Mrs. A., American, aged 30, multipara, was taken, Christmas day, 1877, with severe labor pains, and expelled a four months' fœtus with very little hæmorrhage.

She being very fleshy, the firmly contracted os could barely be reached, and no active interference for the delivery of the placenta was advised. After a rest in bed for a week the patient was allowed to resume her usual household duties. Every few days a little hæmorrhage occurred, with some pain, and about once a month a portion of the placenta was expelled, until the 30th of April, or after four months, the last piece, the size of the thumb, came away as fresh and healthy as any before it. There never occurred any serious hæmorrhage or severe pains during the four months, and very little medicine was taken. The patient often went to town on the street-cars, a ride of over two and

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