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March 29, 1884


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JAMA. 1884;II(13):343. doi:10.1001/jama.1884.02390370007001c

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About 8:30 on the morning of May 13, 1882, I was called to attend Mrs. N. in confinement. She was a Swede, age 40, a multipara. I found the membranes protruding from the vagina, and a foot just within. Her pains were not very severe. From all appearances I was satisfied there were twins. I ruptured the membranes, when a large quantity of fluid escaped. The pains now became stronger, but the foot did not descend much. The mother was weak from the burden she had been carrying, and from her inability to lie down, which had now existed nearly a month. By pressure upon the abdomen and slight traction upon the foot I assisted the delivery, which was accomplished a few minutes after nine. The child was a boy weighing 6½ pounds. The second child presented the vertex and was delivered naturally at 9:45. This also was a boy,

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