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October 22, 1887

RUPTURE OF THE UTERUS.Read before the Section on Obstetrics and Gynecology, at the Thirty-eighth Annual Meeting of the American Medical Association, June, 1887.

JAMA. 1887;IX(17):513-516. doi:10.1001/jama.1887.02400160001001

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The uterus ruptures only once in three or four thousand cases of labor, and many physicians of large experience have never seen a case; but it is so fatal in its results, that all cases, successful or otherwise, should be reported to enable us to form more accurate conclusions as to the best means of preventing the injury, or of saving the life of the woman after it has occurred.

Rupture of the uterus cannot always be anticipated, but in pelvic deformities, or unusual obstructions to natural delivery, as pelvic or uterine tumors, rigidity of the os, bands in the vagina, hydrocephalus of the child, and malpositions and deformities of the child; or in inordinate uterine action, cicatrices in the uterus from former wounds, and in previous disease or weakening of the walls, there is danger of rupture, which may be prevented. But the time allotted me will not admit

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