Case Histories in Obstetrics : Groups of Cases Illustrating the Fundamental Problems Which Arise in Obstetrics

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The biparietal diameter of the head was almost through the inlet. The position, as well as could be made out through the tight uterus, was an O. D. P. Fetal heart 120 to the minute in the right lower quadrant. Vaginal examination showed that the cervix was partially taken up. Os uteri was dilated one finger and very rigid. The anterior uterine segment was very thin and the cervix was pointing posteriorly. Un- stained liquor was coming away. I watched the patient constantly for the next half hou...r. The pains continued coming now every three minutes lasting one minute and caused her much discomfort. She stopped complaining of the abdominal pain between the uterine contractions. Pal- 249 250 CASE HISTORIES IN OBSTETRICS.
pation showed the uterus not relaxing well but it was not tender. Fetal heart 120. Patient's pulse 80.
Labor continued with the same characteristics until quarter past six when she said she felt that she was flowing.
Inspection of the vulva showed that there was a slight amount of fresh blood present, more, however, than normally is present.


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