Transactions of the American Association of Obstetricians and Gynecologists for the year ... . the uterus. Thepatient is placed in bed, the head of the bed is well raised tofavor drainage and the decent of the uterus toward the pelvis. In uncomplicated cases the after-treatment differs in no wayfrom that of any laparotomy; usually, after the first forty-eight hours, in no way from that of the ordinary postpartumwoman. She nurses her child, she is allowed to sit up in a chairon the eighth day and thereafter to walk about the wards, andshe is discharged from the hospital on the twelfth day, post
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . the uterus. Thepatient is placed in bed, the head of the bed is well raised tofavor drainage and the decent of the uterus toward the pelvis. In uncomplicated cases the after-treatment differs in no wayfrom that of any laparotomy; usually, after the first forty-eight hours, in no way from that of the ordinary postpartumwoman. She nurses her child, she is allowed to sit up in a chairon the eighth day and thereafter to walk about the wards, andshe is discharged from the hospital on the twelfth day, post-partum. We are not unmindful of the fact that this is a 320 ASA B. DAVIS. serious and dangerous operation—not more serious nor moredangerous than a number of other obstetrical procedures. Wedo not feel that we have the right to render these women sterile;we do the Cesarean operation repeatedly on the same woman. Of the seventy-eight Cesarean sections performed by thewriter, the first three were done in tenements; the uterus wasdelivered. Since August 12, 1903, he had done the operation. Fig. 3.—Shrunken and folded scar after Cesarean secton. Rhaichitic dwarf. seventy-five times and in no instance has the uterus been re-moved from the abdomen. Beginning with case four, a muchsmaller incision was used, half above and half below and to theleft of the umbilicus. In the seven cases following this one,the writer gradually made the incision smaller and carried ithigher up; until November 20, 1904, he, so far as he knows,first independently conceived and practised the small highmedian incision, entirely above the umbilicus, in a woman,the twelfth in his series (No. 4830), being the second Cesareanon this woman, same as case four (No. 2793). More than two SYMPOSIUM ON CESAREAN SECTION. 321 years after this date, the following allusion to the high incisionwas brought to the writers attention in Blundells Midwifery,published in 1842. He says: Some might think, perhaps,that in removin
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