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April 30, 1887

PERSISTENT VOMITING DURING LABOR RELIEVED BY ANÆSTHESIA.Read before the Medical Society of the District of Columbia, March 21, 1887.

JAMA. 1887;VIII(18):484-486. doi:10.1001/jama.1887.02391430008002

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Nausea and vomiting at the beginning or during the progress of labor is not uncommon. When occuring during the early period it usually ceases with the evacuation of the stomach, or only recurs occasionally. In some cases the patient will vomit at long intervals until the delivery is accomplished. Such vomiting is usually regarded by the laity as beneficial, the popular belief being that "sick labors are easy labors." Obstetricians do not seem to have attached any special significance to the occurrence of such gastric disturbances during the first stage of labor; but when persistent during the second stage, producing exhaustion and lessening the activity of uterine contractions, the safety of the patient may demand immediate delivery.

The complication of labor with persistent vomiting must be very rare, as I have not found a single case reported in detail, after an extensive examination of obstetric literature. Only a few authors

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