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When bringing the bones in apposition, after having effected delivery of the foetus, especial care must be taken to depress thoroughly the urethra and the vesical neck, else, as happened to my first case, these portions of the urinary apparatus may be nipped and a vesico-abdominal These, very briefly, are the general conclusions I am prepared at the present to advance, and they are based on the following clinical experience: was called to this patient the membranes had been ruptured for four hours; the first stage was completed; the vertex was presenting, well flexed in the left anterior position: suprax zithromax std.
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