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July 15, 1899


Author Affiliations


JAMA. 1899;XXXIII(3):131. doi:10.1001/jama.1899.92450550015001c

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Myself and father, Dr. E. A. Benton, were called in consultation by Dr. W. N. Hunt of this city at 1 p.m., June 15, 1899, in the case of Mrs. D., a multipara in her fourth confinement. She had been in labor for about twelve hours with a vertex presentation in the first position, and strong labor pains for several hours after complete dilation of the os had failed to advance the head beyond the lower third of the pelvis. From external examination and the history of the ease, twin pregnancy was diagnosed, and under chloroform, forceps were applied and the head brought down with considerable difficulty through the external parts; but no more progress could be made toward delivery. We then concluded we had to deal with some kind of monstrosity. We amputated the head and tried to turn or bring it in position to deliver, but failed. We

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