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July 5, 1890

REPORT OF TWO CASES OF SEVERE VOMITING OF PREGNANCY.Read in the Section of Obstetrics and Diseases of Women at the Forty-first Annual Meeting of the American Medical Association, Nashville, Tenn., May 20, 1890.

JAMA. 1890;XV(1):19-22. doi:10.1001/jama.1890.02410270035001f

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It is the purpose of this paper to present merely a clinical study of two cases without entering upon the voluminous and oft-rewritten literature of the subject.

Case 1.—Mrs. P. S., of nervous temperament, delicate from childhood, but subject to no special organic disease, married at the age of 26, and became pregnant within a few months. Nausea and obstinate vomiting developed early. Apparently nearly all nourishment taken was rejected; she soon became so much prostrated as to be confined to her bed. Her weight in a few weeks fell from 102 to seventy pounds. Local examination revealed the signs of an early pregnancy, a conical and very long cervix, no displacement or peri-uterine tenderness. Under treatment by rest in bed, careful regulation of diet, (most of the time an exclusive milk diet), bromide of potash, and oxalate of cerium, the vomiting was somewhat mitigated and nutrition maintained. At three

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