Intra Uterine Amputation

The following notes and accompanying specimens are due entirely to Dr. Thomas W. Brockbank of Philadelphia. I was called May 13, 1895, to attend Mrs. D., aged 36, healthy Pennsylvania German, mother of nine children, eight of which are living and healthy. Mrs. D. first menstruated at 15 years of age, has always been regular, and was married at 16. Her husband is also of Pennsylvania German type and healthy. I found her in labor at the end of the seventh month of gestation; external palpation showed nothing abnormal; bimanual examination showed genital organs and pelvis normal; cervix three-fourths dilated; position L. O. A. with vertex presentation; membranes had already ruptured and the waters escaped. Dilatation was soon complete and under good uterine contraction the head advanced rapidly. The extension and rotation were normal and complete, body rotating one-half circumference. The head and shoulders having been expelled from the vagina