Surgical induction of labor is not without risk to the mother, and should not be lightly undertaken. It has, I believe, an important place in the treatment of postmaturity, anyhow in primigra vidas; it can reduce the ...
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Surgical induction of labor is not without risk to the mother, and should not be lightly undertaken. It has, I believe, an important place in the treatment of postmaturity, anyhow in primigra vidas; it can reduce the fetal loss, also the incidence of difficult labor in this class of case. Induction has no place, I believe, in the treatment of disproportion in primigravidas, and almost no place in multiparas. In pre-eclamptic toxemia, induction has an established place, in the interests of both the mother and the baby, but under certain circumstances cesarean section should be *** all the risks in surgical induction of labor, prolapsed cord is the most worrying, and if the head is above the brim the incidence is high. These days, most of us I think would undertake cesarean section if this accident happens, but even so it is not always possible to recognize the condition in time to save the *** will be interesting for me to learn how far the use of Pitocin drips has added, if at all, to the safety of surgical induction in the classes of ease discussed. Although I have had relatively little experience with it. J would hesitate to use it in postmaturity or in pre-eclamptic toxemia on account of increasing the already present risk of anoxia in the child.
1. A report is presented of the perinatal mortality associated with cesarean section, with a review of 944 cesarean sections with respect to the factors accounting for the infant loss.2. The perinatal mortality with c...
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1. A report is presented of the perinatal mortality associated with cesarean section, with a review of 944 cesarean sections with respect to the factors accounting for the infant loss.2. The perinatal mortality with cesarean section is approximately twice as high as the over-all perinatal loss in all types of delivery.3. Neither the type of anesthesia nor the type of operation seemed to have any particular bearing on the ultimate outcome of the newborn.4. Forty per cent of the perinatal loss can be attributed to asphyxia due to placenta praevia and placentae abruptio.5. Almost 50 per cent of the perinatal loss can be attributed to emergency situations where there is little chance for fetal salvage.6. The perinatal mortality in strictly elective cesarean sections is slightly higher than the over-all perinatal mortality.7. There appears to be an inherent perinatal loss with cesarean section of approximately 1 per cent, in which death could be attributable only to "hyaline membrane disease" or atelectasis. However, of the 8 infants who died of these causes in the elective cesarean sections, 5 were premature.8. In those cesarean sections indicated by fetopelvic disproportion theperinatal outcome appears to be somewhat better than the over-all loss in alltypes of vaginal delivery.9. Approximately 10 per cent of the perinatal loss can be attributed directly to prematurity. In an additional 25 per cent, prematurity was a contributing cause leading to death.
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