Obstetric therapy during the last twenty years has entered a new phase by the substitution of obstetric pubiotomy in the place of symphyseotomy. In the same way those methods of delivery which aim to extract the child by means of incision of the uterus have been markedly improved and enlarged.
The so-called vaginal Cesarean section of Dührssen, better termed hysterotomy, has opened a large field in obstetric methods. This operation has shown good results in cases in which the indication for rapid delivery, especially in eclampsia and in prolapse of the cord, necessitates such measures. Likewise the true Cesarean section, that is, delivery through incision of the uterus by the abdominal route, necessitated by narrowing of the bony pelvis, or because of stenosis of the vagina and cervix, has undergone changes in the last decade that are by no means inconsiderable.
Among these new methods Cesarean section, performed according to
PFANNENSTIEL J. ABDOMINAL CERVICAL CESAREAN SECTION.. JAMA. 1908;LI(9):732-734. doi:10.1001/jama.1908.25410090014001c