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July 15, 1905

Expulsion of Placenta Before Birth of Child.

Author Affiliations

Goodrich, N. D.

JAMA. 1905;XLV(3):208. doi:10.1001/jama.1905.02510030066019

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Chicago, July 4, 1905.

To the Editor:  —Relevant to the inquiry of Dr. Butt in The Journal, July 1, page 60, I would say that I was called on June 15 by a midwife to a case in which the third stage of labor had preceded the second, the placenta having been delivered about half an hour before my arrival. The os was the size of a silver dollar, with a right sacro-anterior presentation of the fetus. The woman's pulse was 90, small. She was pale and weak, but her condition was not alarming. Hemorrhage had ceased. In about forty minutes she expelled, unassisted, an exsanguinated male fetus, apparently at term. The midwife was reticent as to the history of the case and her connection with it, but I gathered from the husband, who could speak little or no English, that there had been hemorrhages for some weeks prior to

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