The patient, admitted in childbirth to the Elizavetgrad hospital on September 16, was healthy before her marriage, menstruated correctly after 4 weeks; she married at 18, and gave birth to a dead child in her second year. The second birth a year later ended with perforation due to narrowing of the outlet. After this birth she was ill; was treated, but unsuccessfully, for a tumor, and in view of the danger she was advised to beware of pregnancy. A year later, she became pregnant again and on time, September 15, labor began; the waters disappeared soon, the pain intensified, there was a breakdown, nausea and vomiting. Objectively: the subject is strong, the pelvis is correct, weak activity of the heart and pulse, t is normal, nausea and vomiting, constipation, bloating and pain in the lower abdomen, a sharp protrusion of the abdomen with the designation of the fetal position, fetal heartbeat is not audible, from the sleeve ichor with a smell.