A nurse's handbook of obstetrics, for use in training-schools . ile attempts atdelivery by forceps or version. Under such circumstances it CESAREAN SECTION. 187 is very apt to result fatally to the mother either from shock orinfection or both, while, if it is performed by a competent sur-geon either just before or immediately after the natural onset oflabor, with the patient in good condition and all necessary con-veniences and assistants at hand, it is almost universally success-ful. Consequently, it is easy to understand that the best resultsin Csesarean section will follow careful and thoro
A nurse's handbook of obstetrics, for use in training-schools . ile attempts atdelivery by forceps or version. Under such circumstances it CESAREAN SECTION. 187 is very apt to result fatally to the mother either from shock orinfection or both, while, if it is performed by a competent sur-geon either just before or immediately after the natural onset oflabor, with the patient in good condition and all necessary con-veniences and assistants at hand, it is almost universally success-ful. Consequently, it is easy to understand that the best resultsin Csesarean section will follow careful and thorough ante-partum examination, by which the surgeon may know in ampletime that the patient cannot by any possibility be delivered ofa living child through the natural passages at full term or atany period of pregnancy sufficiently advanced to permit of itsliving. It is hardly necessary to say that the operation subjectsthe child to no danger whatever, and that if it is in good con-dition at the time when the abdomen is opened it will be de-livered Fig. 84.—Pelvic tumor preventing delivery. (Garrigues.) Large ovarian cyst, in front olhead, obstructing the genital canal. The chief indication for Cesarean section is contraction ordeformity of the pelvis which is so marked that it is impossiblefor a viable child to pass through it even with the assistanceof forceps or version, and it may also be rendered necessaryby the presence of abdominal tumors (Fig. 84), cancer of thecervix, overgrowth of the foetus, monstrosity, certain cases of 188 A NURSES HANDBOOK OF OBSTETRICS. twins, and certain malpositions of the foetus which cannot becorrected. In malignant disease (cancer) of the cervix the uterus andappendages are usually removed at the time of the operation,unless the mother is already in a hopeless condition and thesection is performed solely in the interest of the child. As in any other abdominal operation, the patient lies on herback on a firm table, with a Kelly
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