roids 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. At 6 P.M., November 13th, the pains of labor
commenced. Three hours later she was having great dyspnea with each
pain. This soon assumed a fatal aspect and the midwife attempted to
resuscitate the patient by artificial respiration, but failed in her
efforts, and then she turned her attention to the fetuses, and, one by
one, she extracted them in the short space of five minutes; the last
one was born twelve minutes after the mother's death. They all lived
(the first two being females), and they weighed from 4 1/4 to 6 1/2
pounds.
Considerable attention has been directed to the advisability of
accelerated and forced labor in the dying, in order that the child may
be saved. Belluzzi has presented several papers on this subject.
Csurgay of Budapest mentions saving the child by forced labor in the
death agonies of the mother. Devilliers considers this question from
both the obstetric and medicolegal points of view. Hyneaux mentions
forcible accouchement practised on both the dead and the dying.
Rogowicz advocates artificial delivery by the natural channel in place
of Cesarian section in cases of pending or recent death, and Thevenot
discussed this question at length at the International Medico-Legal
Congress in 1878. Duer presented the question of postmortem deliver
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