Massachusetts Medical Society

Abstract
A 37-year-old gravida 9 died at 32 weeks from a ruptured uterus without operative intervention.Previous pregnancies, except in number, were unremarkable. Seen earlier at a free-standing satellite clinic, the patient had been told that she was pregnant and had either cirrhosis or "fatty liver," attributable to her severe alcoholism. If there was any other prenatal care, it could not be identified, since she had apparently had no follow-up observation. Three weeks before death, she had been brought to the emergency floor because of an automobile accident, but left before being examined. On the afternoon before admission, she had been . . .

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