A textbook of obstetrics . le force the head is not engaged, a choice must OBSTETRIC OPERATIONS. be made between version and symphyseotomy. The former isalmost always practicable with a conjugate over seven centi-meters, but the mortality of the infants is about thirty-three percent. The latter practically insures a living child but is distinctlydangerous to the mother, especially if the operation must beperformed in a private house, and in an emergency. The caseshould be laid before the woman or her husband, who shouldcertainly have some voice in the decision. The only situationsin practice i
A textbook of obstetrics . le force the head is not engaged, a choice must OBSTETRIC OPERATIONS. be made between version and symphyseotomy. The former isalmost always practicable with a conjugate over seven centi-meters, but the mortality of the infants is about thirty-three percent. The latter practically insures a living child but is distinctlydangerous to the mother, especially if the operation must beperformed in a private house, and in an emergency. The caseshould be laid before the woman or her husband, who shouldcertainly have some voice in the decision. The only situationsin practice in which version need not be considered as an alter-native to symphyseotomy are the firm impaction of the present-ing part in the superior strait, and labors obstructed by a gener-ally equally contracted pelvis and by a kyphotic pelvis. The Technic of the Operation.—This differs as one prefers theFrench or the Italian method. The latter, to my mind, is to bepreferred. It is quite as easy as the direct incision, and it has. Fig. 5§9-—Galbiatis knife for cutting the symphysis.
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
