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October 22, 1887

PUERPERAL TETANUS.Read before the Medical Society of the District of Columbia, May 18, 1887.

JAMA. 1887;IX(17):522-524. doi:10.1001/jama.1887.02400160010001c

I was summoned in haste to see Mrs. T., in her second confinement, March 16, 1886, at 8:30 A.M. The messenger stated that there appeared to be serious trouble, as she had been in labor since the preceding evening, a midwife being in charge. I at once went to the assistance of the woman, and found her suffering acutely and anxious for aid. Upon making an examination, my hand encountered the child's hand and arm (the former lying in the vulva); the os uteri was so firmly contracted around the child's shoulder that it was impossible for me to force my hand beyond it, nor could I dilate it, although I worked assiduously for over an hour. The womb was in a constant state of action, brought about by numerous doses of fl. extract of ergot, administered by the midwife in charge the preceding night, an ignorant old woman. Seeing