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August 29, 1885


Author Affiliations


JAMA. 1885;V(9):231-232. doi:10.1001/jama.1885.02391080007001c

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On Saturday morning, July 18th, 1885, Mrs. C., a primapara, while engaged in shopping, was taken suddenly, without any premonitory warning, with a most profuse hæmorrhage, which, as the sequel will show, was uterine in character. Her clothing was saturated with blood, and quite a pool of blood was discovered where she stood. She was immediately placed in a carriage and driven to her residence, stopping on the way for her nurse to accompany her.

I reached her bed soon after she was placed therein, and found she was yet flowing considerably. Suspecting the nature of her situation, an examination revealed what is termed technically, placenta previa lateralis.

The presentation was the usual one, and the os uteri was dilated to about the size of a silver quarter dollar, dilatable; no pains. I at once tamponed and administered ergot, which measures, while they checked at once the flow, did not

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