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Mrs. G., aged 21 years, a pripara, had suffered some inconvenience, as she stated, on account of her limbs being swollen, but otherwise was in good health. My first visit to the patient was about forty-eight hours previous to labor; the membranes had ruptured previously while the woman was about her work, and a large quantity of water escaped per vagina, although it was not preceded or followed by pain. The patient did not complain of headache, nor were there any nervous symptoms present, yet the face and limbs were cedematous, and would pit upon pressure, which was ascertained from examination of the urine to originate from nephritis. An examination per vagina found the cervix dilated to the size of a ten-cent piece. I left the patient, after instructing the attendant that whenever a change should take place in the condition of the woman to immediately inform me. The following
JENKINS JF. A CASE OF COMPLICATED LABOR. JAMA. 1892;XVIII(4):94–95. doi:10.1001/jama.1892.02411080004001a
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