. A treatise on obstetrics for students and practitioners . Determining the engagement of the head. (Beuttner.) The reason for inducing labor is danger to the life of the mother orto that of the child. Where pregnancy is complicated by abnormali-ties which threaten the mothers life, and where the termination ofpregnancy would give ground for hope that she might recover, gesta-tion must be ended. In other cases it is found that some complicationexists in the mother which will render the birth of her child at term 240 PATHOLOGY OF LABOR. impossible. Gestation must be terminated at a selected tim
. A treatise on obstetrics for students and practitioners . Determining the engagement of the head. (Beuttner.) The reason for inducing labor is danger to the life of the mother orto that of the child. Where pregnancy is complicated by abnormali-ties which threaten the mothers life, and where the termination ofpregnancy would give ground for hope that she might recover, gesta-tion must be ended. In other cases it is found that some complicationexists in the mother which will render the birth of her child at term 240 PATHOLOGY OF LABOR. impossible. Gestation must be terminated at a selected time in thesecases in the interests of mother and child. Cases of contracted pelves in which labor is induced are examplesof this latter class. The interruption of pregnancy at any time is amatter of serious importance, and the physician must be sure of hisground before having recourse to such a step. The description ofinduced abortion, or therapeutic abortion, as it is often called, will begiven in treating of abortion. Fig. Determining the engagement of the head hy palpation and combined examination. (Beuttnee.) Labor is induced in contracted pelves whose antero-posterior diam-eter internally is 8J cm. (3J inches) or more, when the head can bebrought to engage by manipulation, if needed, under anaesthesia. Itshould also be brought on in cases of toxaemia, in severe cases ofinsanity, and where heart-disease or rapid phthisis threatens the life ofthe mother. Induced labor is more dangerous than normal birth to both motherand child. The dangers for the child, however, if antiseptic precau-tions are taken, are far greater than are those of the mother. In thehands of those practising antiseptic operations the induction of laborhas no direct mortality-rate for the mother. The practice of incuba-tion and additional knowledge in infant-feeding have very greatlyreduced foetal mortality following induced labor. To prepare for this operation the same care should be exercisedwhich is
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
