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To the Editor:
—As expulsion of placenta before that of child seems rather uncommon, the following may be interesting: The patient was seen Aug. 5, 1904. Miss —, primipara, white, aged 22, had taken some drug (probably ergot), to produce abortion. This had produced severe pains and some hemorrhage. On examination the placenta was plainly visible at vulva; there was a very foul odor. With patient under anesthesia the placenta and then a six-months fetus were delivered manually. The position of placenta before contractions of uterus was not known.
McReynolds CE. Expulsion of Placenta Before Birth of Child. JAMA. 1905;XLV(3):208. doi:10.1001/jama.1905.02510030066020
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