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Now, to not be all alone, separated from this mad world he meant to separate himself from, to not hear so clearly the inner voice which, in a change of attitude, he now did not want to hear fully, to not think of himself as an affluent but still aimless drifter or a delinquent parent in a fatherhood that had come about from this game of massage and ejaculation concocted by two women yearning for a child, to not be a broken aching man with a broken throbbing arm and clavicle, the gifts of a wife who despised him, to be free of that recurrent guilt-ridden memory of a girlfriend suffering from postpartum depression who leaped from a balcony to elude him, that nightmare of a mutilated corpse always fresh in his thoughts, and to stand in the eternal compass of love without a diminutive man-made version that was broken fragments in his hands, would be his ultimate rapture.
Dolbeau describes an instance in which multiple fractures were found in a fetus, some of which were evidently postpartum, while others were assuredly antepartum. Hirschfeld describes a fetus showing congenital multiple fractures. Gross speaks of a wonderful case of Chaupier in which no less than 113 fractures were discovered in a child at birth.
His was laden in resentment over the idea of returning home to this blind lover who couldn't see that the two of them living together was inhibiting the progress of his manuscript. "Any ideas," he asked. "She could have a baby and then throw him in a well." "Why? What well? I don't want to write unbelievable melodrama." "It's not unbelievable. It happened?" "Huh?" "To me. Postpartum depression.
Ingleby describes a case of fibrous tumor of the uterus terminating fatally, but not until three weeks after delivery. Lusk mentions a case of pregnancy with fibrocystic tumor of the uterus occluding the cervix. At the appearance of symptoms of eclampsia version was performed and delivery effected, followed by postpartum hemorrhage.
Should pregnancy ensue, delivery might be attended with serious complications, as very difficult labor, postpartum hemorrhage, or, as these tumors have but little vitality, and the pressure to which they are subjected during labor is liable to cause their death, disorganization, sloughing, and, as a result, puerperal septicemia.
In two of the cases the forceps was used, but not on account of uterine inertia; the fetal head was voluminous, and in one of the two cases internal rotation was delayed. The placenta was always expelled easily, and no serious postpartum hemorrhage occurred. Fraipont observed the progress of pregnancy in several of these cases.
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