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August 12, 1905

Expulsion of Placenta Before Birth of Child.

JAMA. 1905;XLV(7):476-477. doi:10.1001/jama.1905.02510070044015

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Ladinas, Cal., July 19, 1905.

To the Editor:  —In reply to Dr. Butt's question in The Journal, July 1, p. 60, permit me to report a case of twins occuring in my practice in New Mexico. The patient, Mrs. D., Mexican, aged 25, iv-para, was taken in labor 24 hours before I was called. I administered treatment for the uterine inertia present. About five hours later, a healthy child was delivered by the aid of forceps. In about ten minutes, the second child, in the vertex position, was delivered, pushing ahead his own placenta. He was somewhat asphyxiated but was easily revived, and two weeks later was more vigorous than the other. There was no more hemorrhage than in the ordinary normal case. I concluded that the uterus while contracting to expel the first child had loosened the second child's placenta which might have been placed very near the internal

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