Prior to 1929 no study had been made of the results of cesarean section in Indianapolis. In order to compare local work with that in other cities, and particularly with that in the larger maternity hospitals, I made a study of cesarean section in Indianapolis for the preceding year.
The statistics from the four Indianapolis hospitals from Nov. 1, 1927 to Nov. 1, 1928 are given in table 1.
These figures were significant in several ways. In the first place, although not as bad as in some other cities, a maternal mortality of 11.3 per cent was much too high. In each group of nine cesarean sections one mother had died.
How much too high this local maternal death rate of 11.3 per cent was is apparent in view of a report published by the Chicago Lying-in Hospital at about the same time of 731 consecutive low cervical sections with
SMITH DL. MORTALITY FROM CESAREAN SECTION IN INDIANAPOLIS AND THE CENTRAL STATES. JAMA. 1937;108(16):1334–1336. doi:10.1001/jama.1937.02780160026007
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