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Article
July 6, 1912

CESAREAN SECTION UNDER DIFFICULTIES

Author Affiliations

Drewsey, Ore.

JAMA. 1912;LIX(1):37. doi:10.1001/jama.1912.04270070039015

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Abstract

Past History.  —The patient, a multipara, is a short, heavyset, stocky-built, muscular woman, aged 24, who has been subject to epileptic seizures since childhood. There is a history of epilepsy in her mother's family also. Eighteen months previously she had been delivered of a child by a high instrumental delivery. The child is epileptic. The patient was seven months pregnant. She had been having eclampsia for seventy-two hours, the attacks varying from fifteen to forty-five minutes and increasing in severity. Examination failed to show any dilatation of the external os, although there was spurious labor. The ranch-house was small, crowded with cow-men, and in a filthy condition, apparently not having been cleaned for months; moreover, there wasn't a clean towel in the place and the light from a dirty smoky oil lamp was poor; nurses and assistants were unknown.

Operation.  —The patient was chloroformed in bed and then carried out

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