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JAMA. 1883;I(15):447-451. doi:10.1001/jama.1883.02390150011001a.
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The following is the full report of the case discussed in the proceedings of the Obstetrical Society of Philadelphia given in another part of the Journal as furnished by the Secretary of the Society.—[Ed.]

Sallie Smith, a deformed dwarf, applied for admission to the Philadelphia Hospital in April, 1883. One of the internes placed her among the pauper women of the out-wards of the almshouse. There, all the conditions surrounding the dwarf were such as to contribute to her physical deterioration. The women in that part of the institution are unduly crowded—the ventilation is entirely inadequate, and the food of a character unfit for a pregnant woman. Her presence in those wards was unknown to any of the visiting obstetricians of the hospital until June 15, when Dr. Pauline Root, one of the internes, ascertaining her pregnancy and surroundings, conveyed the information to me. I at once had her transferred


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