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September 26, 1885


JAMA. 1885;V(13):363. doi:10.1001/jama.1885.02391120027012

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On the morning of March 30, 1881, I was called in haste to see Mrs. S. A., primapara, aged 22 years. When I entered the room the nurse informed me that the patient had had some slight pains during the night, but thought it not necessary to send for me until daylight; but that about twenty minutes previously she felt a gush of blood, and, as she said, was then flowing "horridly." Sitting on the side of the bed I made an examination, and found the os uteri dilated nearly the size of a silver dollar, with the placenta lying across the opening and adherent.

Labor pains were slow, having occurred but twice since she began to flow. Forcibly passing the index finger between the placenta and cervix, I found a vertex presentation, third position. Assuring the patient, who was already badly scared, that she was in no danger, but

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