This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
I recently was called to see a woman, aged 44 years, three days in labor with her thirteenth child. She was a well formed woman and had passed through the period of her pregnancy to full term, with no symptoms of any importance. When I arrived I found the cord prolapsed and the left shoulder presenting at the pelvic brim. The os was fully dilated, and the amniotic fluid had long since drained away. The woman had become restless and irritable, was a little feverish and the vagina and os uteri were swollen, dry, hot and painful.
The cord was pulseless, but was warm and moist, and the midwife informed me that it had been pulsating only a short time before. I determined, therefore, to replace the cord before proceeding to turn, and to facilitate this I placed the patient in the knee-chest position. The cord was then easily replaced
WELLS EF. A NOTE ON THE MANAGEMENT OF SHOULDER PRESENTATIONS. JAMA. 1885;IV(15):395–396. doi:10.1001/jama.1885.02390900003001b
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: