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Article
June 25, 1955

PRINCIPLES IN VAGINAL DELIVERY OF COMPLICATED OBSTETRIC CASES

Author Affiliations

Upper Darby, Pa.

Professor of Clinical Obstetrics and Gynecology, Graduate School of Medicine, University of Pennsylvania.

JAMA. 1955;158(8):637-640. doi:10.1001/jama.1955.02960080013004
Abstract

There has been a very definite and proper liberalization of the indications for cesarean section in recent years.1 In keeping with the present-day safety of the operation, this new trend has been accompanied by a drop in both maternal and fetal mortality and morbidity. All obstetricians are well aware of the part played in the present-day safety of cesarean section by blood banks, antibiotics, sulfonamide compounds, and nutrition and fluid balance, but relatively few doctors recognize the added safety that is afforded methods of vaginal delivery by the same factors. The conduct of labor by present methods enables obstetricians to deliver vaginally in many cases with obstetric complications that formerly were considered definite indications for cesarean section.

The hospital accreditation board looks with disfavor upon a hospital having a cesarean section incidence in excess of 3%; however, the cesarean rate in some parts of the country has been steadily

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