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September 24, 1898

A Case in Obstetrics.

JAMA. 1898;XXXI(13):736-737. doi:10.1001/jama.1898.02450130058012

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Sioux Falls, S. D., Sept. 10, 1898.

To the Editor:  —On responding to a call in the country, July 24, to attend Mrs. S. in confinement, I found myself confronted with complications different from anything I had ever before encountered.I reached the home of my patient, about seven miles from town, about noon. She was a large, muscular woman about 42 years of age, living with her second husband. She had given birth to ten children by her first husband, the oldest now 19 years of age. She had also had three miscarriages, one since living with her present husband.I found her in bed, lying partially on her right side, with head and shoulders raised by pillows and her lower extremities elevated, because of a violent hemorrhage which had taken place. She was sweating profusely, was very cyanotic, with painful dyspnea; was coughing incessantly, raising enormous quantities of

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