Strong records an
unusual obstetric case in which there was prolongation of the
pregnancy, with a large child, and entire absence of liquor
amnii. The case was also complicated with interstitial and
subserous fibroids and a contracted pelvis, combined with a
posterior position of the occiput and nonrotation of the head.
Lente mentions a case of labor without liquor amnii; and Townsend
records delivery without any sanguineous discharge. Cosentino
mentions a case of the absence of liquor amnii associated with a
fetal monstrosity.
Delivery After Death of the Mother.--Curious indeed are those
anomalous cases in which the delivery is effected spontaneously
after the death of the mother, or when, by manipulation, the
child is saved after the maternal decease. Wegelin gives the
account of a birth in which version was performed after death and
the child successfully delivered. Bartholinus, Wolff, Schenck,
Horstius, Hagendorn, Fabricius Hildanus, Valerius, Rolfinck,
Cornarius, Boener, and other older writers cite cases of this
kind. Pinard gives a most wonderful case. The patient was a woman
of thirty-eight who had experienced five previous normal labors.
On October 27th she fancied she had labor pains and went to the
Lariboisiere Maternite, where, after a careful examination, three
fetal poles were elicited, and she was told, to her surprise, of
the probability of triplets.
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