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November 28, 1908


JAMA. 1908;LI(22):1869. doi:10.1001/jama.1908.25410220041004c

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Mother's History.  —Mrs. L. C. T., aged 35, American, weight 112 pounds, height 4 ft. 6 in., married twelve years, had had seven children, of whom four are still living; two were born prematurely at six and seven months respectively, and one died at the age of three months, cause of death unknown.

Present Labor.  —I was called to attend the patient July 19, at 1:30 a. m. The os and cervix were well dilated and the amniotic sac was protruding. Within ten minutes the first child, a boy, was born; it seemed small, and on tying the cord I was surprised to find four umbilical cords braided together. Within fifteen minutes another boy was born, thirty minutes later a girl, half hour later another boy.

Description of Placentas.  —There were two placentas, one with three cords and the other with one. They were delivered in a macerated condition.


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