Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . physician, through anunclean vulva. Patient potentially infected at time of operation. Temperaturereached 99 °F. on third day after operation, and continued so until patient left hos-pital. Case 11.—No. 14612. Multipara. Ambulance case. In labor about seventy hours. 68 THURSTON SCOTT WELTON Membranes ruptured about fifty hours. Pains severe. Many vaginal examinationsthrough an unprepared field by midwife and physician. Patient potentially infectedat time of operation. Temperature
Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . physician, through anunclean vulva. Patient potentially infected at time of operation. Temperaturereached 99 °F. on third day after operation, and continued so until patient left hos-pital. Case 11.—No. 14612. Multipara. Ambulance case. In labor about seventy hours. 68 THURSTON SCOTT WELTON Membranes ruptured about fifty hours. Pains severe. Many vaginal examinationsthrough an unprepared field by midwife and physician. Patient potentially infectedat time of operation. Temperature normal third day after operation. On night ofsixth day temperature 101 °F., but it was normal the next morning and remained sountil patient left the hospital. Although seven cases were potentially infected at the time of opera-tion, and six cases showed infection after operation, the uterine woundwas so effectually sealed that there was no leak into the general peritonealcavity and no peritonitis developed. All the mothers lived. Three caseshad a distinct pelvic pathology upon dismissal from the Fig. 4.—Deep layer of interrupted sutures placed. (Placenta and membranes delivered.)Superficial layer of interrupted sutures placed. The placing of these sutures is facilitated bytraction made by an assistant. Insert shows uterine wound closed. Sutures tied. We may sum up these eleven cases as follows: Duration of labor before operation: not in labor, two; in labor 3 to 10hours, none; in labor 10 to 24 hours, three; in labor 24 to 36 hours, three;in labor 36 to 48 hours, one; in labor more than 48 hours, two; in labormore than 24 hours, six. Condition of the membrane: not ruptured, two; ruptured less than 10hours, two; ruptured 10 to 24 hours, four; ruptured 24 to 36 hours, one;ruptured 36 to 48 hours, two; ruptured more than 48 hours, none; rup-tured more than 10 hours, seven. Vaginal examinations: no vaginal examinations, one; two vaginal ex- DOUBLE FLAP LOW CESAREA
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Keywords: ., bookcentury1900, bookdecade1920, booksubje, booksubjectobstetrics
