Operative obstetrics including the surgery of the newborn / by Edward P. Davis.

  • Edward P. Davis
Date:
1911
Catalogue details

Licence: Public Domain Mark

Credit: Operative obstetrics including the surgery of the newborn / by Edward P. Davis. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    a fatal termination. The maternal mortality is variously esti- mated, but is at least considerable, Walther concluding that 13.6 per cent, of the mothers die and 25.7 per cent, of the children. In Williams' 122 cases with outlet contraction, 103 were delivered at or near full term without a maternal death, and with the loss of 7 children. In these cases the deformity was recognized early and appropriate treatment applied as soon as needed. Thus, pubiot- Fig. 54.—Rachitic ])elvis. Celiohyeterotomy (Author's case). omy. was done three times in the series, forceps apphed ten times, and craniotomy performed once. It is evident that in these cases we lack the clinical test afforded early in labor by the engagement and partial descent of the head into the pelvic brim. Should the head become impacted low in the pelvis, delivery by abdominal section might be difficult or im- possible without fatal injury to the fetal skull in removing it from the pelvic cavity. In view of the dangers occasioned by contraction at the pelvic outlet, its measurement should be a part of pelvimetry applied to all patients. Should the transverse diameter of the