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August 20, 1898

Precocious Pregnancy; Twin Births.

JAMA. 1898;XXXI(8):424. doi:10.1001/jama.1898.02450080050014

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Montevallo, Ala., Aug. 6, 1898.

To the Editor:  —I wish to mention the case of a negro girl whom I delivered of twins, Feb. 5, 1897. This girl was born and raised in Boiling, Ala. At 11 years of age, she began to menstruate regularly; became a prostitute soon afterward, and was delivered of twins at the age of 13 years, 9 months and 5 days. Both children were females. One is living; the other was accidentally smothered when five days old. The first child presented feet foremost; the second came "head first." The afterbirth was adherent. I administered chloroform and, after introducing the hand, detached it. There was some hemorrhage, but a hot douche controlled it. The mother was exceedingly well developed for her age and made a speedy recovery. I inclose a copy of the birth certificate.Very truly yours,

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