[Skip to Navigation]
July 15, 1911


Author Affiliations


JAMA. 1911;LVII(3):213. doi:10.1001/jama.1911.04260070217012

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


History.  —The patient's family history was negative She Was 37 years old and had menstruated regularly every four weeks, the menstrual period lasting about four days. She had had six living children before present labor, and three miscarriages. I curetted one of the patient's uteri about two years ago and did not discover anything unusual about her anatomy.

Present Pregnancy and Labor.  —I was called on the morning of May 27, 1911, to see patient. Pains were coming about every fifteen minutes. Vaginal examination revealed dilatation to about the size of a dollar. At this time I noticed that the cervix was unusually high. Upon external examination I found two distinct tumors, one to the left and one to the right of the abdomen. The right was considerably higher than the left. On palpation I discovered small parts and distinct motion on each side. The diagnosis of twins was made.

First Page Preview View Large
First page PDF preview
First page PDF preview