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June 12, 1937

Foreign Letters

JAMA. 1937;108(24):2051-2056. doi:10.1001/jama.1937.02780240043017

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LONDON  (From Our Regular Correspondent)May 15, 1937.

Extension of the Use of Cesarean Section  At a meeting of the North of England Obstetrical and Gynecological Society, Prof. A. M. Claye advocated a wider use of cesarean section, which a few years ago was almost limited to cases of contracted pelvis and of occasional cases of fibroids or ovarian tumors obstructing labor. The operation had a high mortality when done late in labor, because the uterus was already infected. The infection easily passed through the wound into the general peritoneal cavity. It was therefore considered that when intervention was necessary late in labor and forceps delivery was impossible owing either to small dilatation of the cervix or to excessive disproportion, craniotomy was the safer operation. But the introduction of the lower segment operation had altered this. It was definitely safer than craniotomy, except possibly in some cases in which forceps

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