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January 25, 1896

A Knotted Umbilical Cord.

JAMA. 1896;XXVI(4):189. doi:10.1001/jama.1896.02430560041012

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Berwyn, Ill., Jan. 16, 1896.

To the Editor:  —A rather unique case occurred in my obstetric practice at this place last week. Mrs. S., who was under my care and expected to be confined late in February, sent for me early the morning of January 10. Upon arriving at the house I found my patient in the midst of labor, regular pains, very frequent and severe. Examination revealed dilated os, breech presentation, no evidence of fetus being alive. A short time later delivery was accomplished. The fetus was dead. Stage of development was that of a seven-months' fetus. It weighed about three pounds, and gave evidence of having been dead some little time, as it was considerably macerated. Upon examination of the cord I found a tight knot about midway between fetus and placenta. This undoubtedly had caused fetal death, which precipitated labor. The mother had not felt life for

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