Excerpt from Transactions of the Philadelphia Obstetrical Society: From October 1, 1896, to October 7, 1897, With Complete Index
The following is copied from the hospital notes on progress of labor: Patient says that She fell in labor at 2 A. M., July 20, 1896; but she did not report it to the nurses until about 10 A. M., when the pains became frequent and severe. The membranes must have rup tured before she was given her bath. Labor was normal in every respect as regards its progress. The head engaged in right-occipito posterior position, then, upon reaching the pelvic ﬂoor, the occiput, which was directed to the right and posteriorly, swung forward through an arc of 135 under the pubic arch. The perinaeum being quite rigid, it required some little time for the expulsion of the head, which, however, was accomplished without laceration of the perineal body. The placenta was expelled twenty minutes later, gentle ex pression being required.
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