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October 15, 1898

Case of Fetal Monstrosity—Thoracopagus.

JAMA. 1898;XXXI(16):938-939. doi:10.1001/jama.1898.02450160060010

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Weatherly, Va., Oct. 6, 1898.

To the Editor:  —July 15, 1898, I was hastily summoned to the bedside of Mrs.—, a primapara, who presented the following history: She had been greatly molested by pains in the abdomen, principally during the night, for about a fortnight. During the night of July 15 she was startled by a sudden gush of liquids, which was none other than the amniotic fluid, and apprising her mother of what had happened, a messenger was sent for me. Arriving at her bedside I discovered her with a severe intermittent pain, characteristic of labor. Washing and disinfecting my hands, I proceded to make a digital examination to ascertain the cause, since the woman declared to be only six months pregnant, I found the os soft and dilatable, and a fetal foot presenting.Firmly grasping the presenting part I applied gentle traction, and presently I had what I

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