About 20 years ago Bubis of Cleveland began to urge more extensive repair of soft tissue damage at the time of delivery. His contributions were aply described as "puerperal gynecology," and under this heading he advocated that obstetricians undertake several operative procedures usually considered properly to belong to the post puerperal period. I have practiced some of these recommended operations for about 17 years, and this paper is a discussion of my own experiences and results.
CERVICAL REPAIR AT DELIVERY
It is usually stated in obstetric textbooks that damage to the cervix at the time of labor is inevitable. This is evidenced by the typical textbook description of the cervix of the nullipara in contrast to that of the woman who has borne one or more children. In the first instance the external os is described as a small round opening or dimple, which is replaced after childbirth by a
Douglass LH. REPAIR OF OBSTETRIC SOFT TISSUE DAMAGE IMMEDIATELY POST PARTUM: CHAIRMAN'S ADDRESS. JAMA. 1952;150(11):1061–1063. doi:10.1001/jama.1952.03680110001001
Browse and subscribe to JAMA Network podcasts!
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: