. Obstetrics for nurses. e. Amongeighty patients upon whom cesareansection was done in the United Statesprior to the year 1878 there was a deathrate of over fifty per cent, and it wasnot until 1883 that the operation was successfully performed in Paris orNew York City. This appalling mortality was due to hemorrhage andinfection, and may be traced to the prevailing ignorance concerning asep-sis, as well as to the fact that sutures were not employed to close theuterine wound. In 187G Porro advocated the removal of the uterus afterthe child had been delivered and the suturing of the cervix into t
. Obstetrics for nurses. e. Amongeighty patients upon whom cesareansection was done in the United Statesprior to the year 1878 there was a deathrate of over fifty per cent, and it wasnot until 1883 that the operation was successfully performed in Paris orNew York City. This appalling mortality was due to hemorrhage andinfection, and may be traced to the prevailing ignorance concerning asep-sis, as well as to the fact that sutures were not employed to close theuterine wound. In 187G Porro advocated the removal of the uterus afterthe child had been delivered and the suturing of the cervix into the lowerangle of the abdominal incision. In this way post-partum hemorrhageand puerperal infection were largely avoided and much better resultsmade possible. Shortly afterward, in 1883, Sanger advised suturing ofthe utciine wound, rather than the removal of the organ, and therebyintroduced llie last stc]) in the development of the ]nesent-day coiiseiva-tive operation. Accumulated expcuience lias resulted in tlie improve-. FiG 2 —\mbioise Pan^Witkowski) INTRODUCTORY CHAPTER ment of the technic of the procedure and has indicated more accuratelythe conditions under which it should be employed. The use of hooks and crude forceps armed teeth in thedelivery of children presenting by the head had been practiced fromearly times, but it was not until the beginning of the seventeenth centurythat Peter Chamberlen devised a non-mutilating obstetrical to that time version was the only procedure that could be utilizedto deliver a living baby artificially. For four generations the secret waskept in the Chamberlen family, the male members of which practicedmedicine and specialized in midwifery. After the invention becamepublic property, about the beginning of the eighteenth century, it waswidely adopted, and various improvements appeared from time to only alterations ofreally fundamental char-acter were the additionof the pelvic curve byLevret (1747) and Sme
Size: 1300px × 1923px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectobstetrics, bookyear1
