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September 23, 1916


Author Affiliations

Sale City, Ga.

JAMA. 1916;LXVII(13):950. doi:10.1001/jama.1916.02590130036010

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Mrs. R. W. C., aged 35, height 5 feet 7 inches, weight 220 pounds; circumference at hips 50 inches, multipara, delivered Feb. 22, 1916, has had eight normal children, including a twin birth. These children have averaged from 7 to 9 pounds in weight. She had three miscarriages. April 15, 1915, she aborted after about a six weeks' gestation. Soon after she became pregnant again. Early nausea and vomiting were more marked than in the previous pregnancies. Labor began Feb. 11, 1916. Vaginal examination at 8 p. m. during the first stage showed left occipito-anterior presentation. The os was patulous, and permitted the introduction of three fingers. The labor pains were of normal frequency but short. After an hour, the os admitted four fingers, and the pains were still short. The patient was given 5 minims of pituitary extract; the pains became more severe, but had little effect on the

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