Cesarean section . owing to the length of time she hasbeen in labor or for some similar reason. If the child is dead, craniotomyis the operation of choice, and if the patient is believed to be infected,cesarean section followed by hysterectomy will give the best results. When the lumbosacral junction is the site of the disease, the lumbarvertebrae may collapse forward and completely block the pelvic inlet,making the entrance of the presenting part into the pelvis practicallyimpossible. The results of labor in kyphotic pelves have proved very unsatisfac-tory. The fetal mortality is given as bet
Cesarean section . owing to the length of time she hasbeen in labor or for some similar reason. If the child is dead, craniotomyis the operation of choice, and if the patient is believed to be infected,cesarean section followed by hysterectomy will give the best results. When the lumbosacral junction is the site of the disease, the lumbarvertebrae may collapse forward and completely block the pelvic inlet,making the entrance of the presenting part into the pelvis practicallyimpossible. The results of labor in kyphotic pelves have proved very unsatisfac-tory. The fetal mortality is given as between 40 and 50 per cent and thematernal prognosis varies with the degree of contraction, being in one 42 CESAREAN SECTION series of cases per cent. Cesarean section at the time of election isthe indicated treatment in all cases where the pelvic contraction is at allmarked, and I believe it to be the elective procedure in all cases in whichany reasonable doubt exists as to the possibility of a pelvic Fig. 17.—Pelvis Obtecta Spondylolisthetic Pelvis.—This rare deformity has a very seriouseffect on labor, if it is at all marked. In slight cases it modifies the course
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