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October 24, 1885


JAMA. 1885;V(17):463-464. doi:10.1001/jama.1885.02391160015005

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Dr. Robert Koppe, of Moscow ( Centralblatt für Gynäkologie, No. 38, 1885), narrates the history of an interesting obstetrical case, in which abdominal auto-transfusion was successfully practiced in acute post partum cerebral anæmia. The patient was a primipara, 24 years old. The abdomen was enormously distended, as the result of twin pregnancy, complicated by pelvic contraction and puerperal endometritis. The first child, presenting by the vertex, was delivered after the performance of craniotomy. The second child, presenting by the breech, was delivered by energetic manual extraction. Although profoundly asphyxiated, the child was resuscitated. The placentæ were normally expelled, and the uterus contracted well without the loss of any considerable quantity of blood.

The labor seemed to have reached a happy ending, when the woman suddenly became pale, and appeared to be on the verge of collapse. No external hæmorrhage was visible,and the uterus was firmly contracted. Rupture of the uterus, with

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