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On May 2, 1888, I was called to see Mrs. R., colored, 23 years of age, who was seven and a half months advanced in her first pregnancy. Early in the morning she was startled by a sudden gush of fluid from the vagina, and up to the time of my visit there had been an uninterrupted discharge unattended by pain. On making an examination, the os was found undilated, but a watery fluid was passing in small quantities. No signs of labor were manifest at the time, and the patient was directed to remain in bed.
Two days later, May 4, I received another message, and saw the woman about the middle of the day. The nurse informed me that pains came on shortly after my previous visit, and that they had steadily increased in severity, but finding that no progress was being made, she had sent for me.
SMITH TC. A CASE OF TRANSVERSE LACERATION OF THE CERVIX UTERI. JAMA. 1888;XI(19):665–666. doi:10.1001/jama.1888.04360040017004
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