Cesarean section . She must be able also to command the services of aproperly equipped surgeon, and efficient after care must be providedfor. If any of these conditions cannot be fulfilled, a pelvic operation; INDICATIONS FOR CESAREAN SECTION 21 offers a so much better chance for the mother that it should be selected,even though it may involve the loss of the child. In cases in which the degree of pelvic contraction is less marked, inwhich the true conjugate diameter measures between and centi-meters in flat, and and 9 centimeters in generally contracted pelves,the operation may be
Cesarean section . She must be able also to command the services of aproperly equipped surgeon, and efficient after care must be providedfor. If any of these conditions cannot be fulfilled, a pelvic operation; INDICATIONS FOR CESAREAN SECTION 21 offers a so much better chance for the mother that it should be selected,even though it may involve the loss of the child. In cases in which the degree of pelvic contraction is less marked, inwhich the true conjugate diameter measures between and centi-meters in flat, and and 9 centimeters in generally contracted pelves,the operation may be indicated as an elective procedure. In patientswhose pelves offer this degree of contraction a satisfactory labor willoften result in the delivery of a living child by means of a not too diffi-cult pelvic operation, but it is exceedingly difficult to estimate the courseof labor in advance, and many children are lost and mothers seriouslyinjured as the result of attempting a pelvic delivery under such Fig. s.—Measuring Diagonal ConjugateDiameter on the Fingers. A large proportion of the patients in this class will either deliver them-selves spontaneously or come to an operative, pelvic delivery of not unduedifficulty, and the exercise of the wisest obstetric judgment is calledfor to determine which case can be safely delivered through the pelvisafter a labor of not undue severity for the given patient, and whichshould be subjected to a radical operation for delivery. In this connec-tion it must not be forgotten that the mere possibility of delivery throughthe pelvis is not the only factor to be considered, and that the effect of asevere labor on the after life of the given patient, with the chance ofmore or less serious laceration, must be taken into account. Two womenwith practically identical pelvic measurements and with children of ap-proximately the same size may have totally different results. One mayhave a comparatively easy, spontaneous labor, while the ot
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Keywords: ., book, bookcentury1900, bookdecade1920, booksubjectcesareansection
