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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    perished. The application of the forceps below the pelvic brim was performed in 60 cases of contracted pelvis, 44 of whom were primiparae. There was no maternal mortality in these cases. Among primip- arse there was fever during the puerperal period in 16 per cent. The mortality among the children was 15 per cent. This is very simi- lar to the reports of Peham (17.2 per cent.), Burger (11.6 per cent.), and Bloodwig and Savor (21.7 per cent.). Although the application of the forceps in face presentations is unusual. Von Herff ^ has had favorable results. Jolly^ has also delivered the fetus in face presentations successfully with forceps. He reports unsuccessful cases, where the head had not properly engaged, with posterior rotation, and would limit the use of the instrument in face presentations to favorable positions of the face. In comparison with other operations the skilful use of the forceps in selected cases is without maternal mortality, has a maternal mor- bidity of about 10 per cent., and a fetal mortality of not less than 10 per cent. In improperly selected cases, disregarding the absence of engagement and molding, the use of the forceps has a direct maternal mortality of from 3 to 5 per cent., a maternal morbidity of 20 to 30 per cent., and a fetal mortality of 30 to 50 per cent. Bibliography Forceps Delivery: Indications For Barta: Orvosi Hetilap., No. 29, 1907. Boerma: Zentralblatt f. Gynakologie, No. 20, 1907. Brodhead: American Journal of Obstetrics, May, 1904. Brown: Journal of Obstetrics and Gynecology of the British Empire, p. 503, 1907. Demelin: Zentralblatt f. Gynakologie, No. 2, 1907. Eisenstein: Gyn. Rundschau, p. 650, 1907; Zentralblatt f. Gynakologie, No. 3, 1909. Jolly: Zentralblatt f. Gynakologie, No. 50, 1907. Jones: Journal of Obstetrics and Gynecology of the British Empire, November, 1906. Klatscko: Zentralblatt f. Gynakologie, No. 21, 1909. i Heger's Beitrage zur Geb. und Gyn., Band 12, Heft ], p. 1, 1907. 2 Zentralblatt f. Gyn., No. 50, 1907.