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September 2, 1893

ACCOUCHEMENT FORCé IN CERTAIN OBSTETRICAL COMPLICATIONS.Read before the Section of Obstetrics and Gynecology, at the Forty-fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(10):342-343. doi:10.1001/jama.1893.02420620018001k

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Accouchement forcé, is as we understand it, a labor actively begun and terminated by artificial aid. This assistance may be rendered through mechanical devices, such as Hegar's and other dilators, Barnes' bags, forceps, catheters, sounds, tampons of cotton or wool, sponge tents, or by the hand introduced into the vagina with the fingers acting as dilators. It is our opinion the fingers are the best and safest means of assistance for the reason that the force exerted is active, appreciative and entirely under the control of the operator. The dilation may be rapid or slow, strong enough to produce a laceration of the cervix and body of the uterus, as in the case related by Parrish at the meeting of the American Gynecological Society in 1892, when discussing this subject, where the hand introduced after delivery reached the bifurcation of the aorta but surely this accident must be among the

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