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May 7, 1910


Author Affiliations


JAMA. 1910;LIV(19):1520. doi:10.1001/jama.1910.92550450001001s

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The case reported by Dr. Petrie in The Journal March 5 reminds me of a similar one I had Sept. 12, 1882, never before reported.

The patient, a forty-year-old primipara, had been in labor two hours when I arrived. She was a small, spare built, anemic individual, one of the kind Dr. Bartholow described in his lectures in 1875 as "the gelatinous product of albuminous parents." The tissues lacked tonicity. On making an examination I found the perineum bulging, and attempted to support and guide the head under the pubic arch. I felt the perineum give way, and the head was born, the body immediately following. An examination revealed the fact that the child was literally born through the perineum. There was complete laceration of the sphincter ani and the right labium majus torn loose for the lower two-thirds. I was assisted in the repair and after attendance by

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