Simpson
published an article on spontaneous amputation of the forearm and
rudimentary regeneration of the hand in the fetus. Among other
contributors to this subject are Avery, Boncour, Brown, Ware,
Wrangell, Young, Nettekoven, Martin, Macan, Leopold, Hecker,
Gunther, and Friedinger.
Wygodzky finds that the greatest number of coils of the umbilical
cord ever found to encircle a fetus are 7 (Baudelocque), 8
(Crede), and 9 (Muller and Gray). His own case was observed this
year in Wilna. The patient was a primipara aged twenty. The last
period was seen on May 10, 1894. On February 19th the fetal
movements suddenly ceased. On the 20th pains set in about two
weeks before term. At noon turbid liquor amnii escaped. At 2
P.M., on examination, Wygodzky defined a dead fetus in left
occipito-anterior presentation, very high in the inlet. The os
was nearly completely dilated, the pains strong. By 4 P.M. the
head was hardly engaged in the pelvic cavity. At 7 P.M. it neared
the outlet at the height of each pain, but retracted immediately
afterward. After 10 P.M. the pains grew weak. At midnight
Wygodzky delivered the dead child by expression. Not till then
was the cause of delay clear. The funis was very tense and coiled
7 times round the neck and once round the left shoulder; there
was also a distinct knot.
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