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November 12, 1898

Retarded Delivery.

JAMA. 1898;XXXI(20):1186. doi:10.1001/jama.1898.02450200054013

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Ryan, Iowa, Oct. 29, 1898.

To the Editor:  —The writer was called Thursday evening, October 20, to attend Mrs. C., a primipara, aged 21 years, with small but roomy pelvis and fine muscular development. Vigorous pains were established by 11 P.M., with the position right occipito anterior. Dilatation of the cervix was soon complete, and matters advanced steadily till early morning when, with the head well down on the perineum, and strong pains, all progress ceased. At 7:30 A.M., the mother showing signs of nervous and physical exhaustion, forceps were applied and the head easily delivered. The cord was found tightly wound around the child's neck. Traction on the cord resulted in severing its placental attachment and the child was quickly delivered. On measurement, the cord was found to be nine inches in length, and had evidently furnished one, if not the chief cause for the retarded delivery.

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