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September 15, 1888

EDITORIAL NOTES.

JAMA. 1888;XI(11):384-386. doi:10.1001/jama.1888.02400630024006

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Abstract

Spontaneous Rupture of the Vagina During Labor.  —Dührssen describes, in a recent number of the Berliner Klinische Wochenschrift, a case in which the vagina was ruptured during labor by pelvic contractions and an abnormal presentation. The patient, aged 34, had given birth to twins twice, without difficulty, though she had a flat rickety pelvis. Footling presentation was diagnosticated before the membranes broke, but the head could be felt to be easily movable, and the feet had evidently prolapsed below them. The vagina would probably have escaped damage had the membranes been ruptured at this time, and the feet drawn down. The membranes ruptured spontaneously, and about half an hour later the pains suddenly ceased, and severe abdominal pain was felt. In the lower part of the abdomen was felt a globular swelling—the body of the child—and to its right was the uterus, strongly contracted. The child had been forced partly

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