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Cord around some part of the child.
—When such a case occurs the hand should be placed in the uterus and the loops of the cord drawn down and slipped over the part encircled. When this is done delivery may proceed normally.
Knots in the cord.
—This is of rare occurrence. The knots are made early in gestation, as a rule, the fetus then being small enough to pass through the loops of the cord. In such cases the child is usually dead before the end of gestation, and the first indication that trouble exists is the occurrence of premature labor. If the knots occur later and are not tight enough to retard circulation, an early diagnosis is almost impossible. As soon as the uterus begins to expel the child the knots tighten, circulation is checked and a stillbirth is inevitable. If the physician can detect by the color of
WHITMIRE ZL. INFANT MORTALITY DURING LABOR, AND ITS PREVENTION. JAMA. 1897;XXVIII(9):413–415. doi:10.1001/jama.1897.02440090031002l
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