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July 4, 1891

THE TREATMENT OF OCCIPITO-POSTERIOR POSITIONS.Read in the Section of Obstetrics and Diseases of Women, at the Forty-second Annual Meeting of the American Medical Association, held at Washington, D.C., May, 1891.

JAMA. 1891;XVII(1):15-17. doi:10.1001/jama.1891.02410790029001e

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The discovery of an occipito-posterior position is always a most unwelcome discovery. Even if all other conditions are favorable, this is unfavorable, and at best means a longer labor and an increase of all the dangers of exhaustion; while, on the other hand, in such cases, more often than in cases of occipito-anterior position, operative assistance is demanded, and yet can be given only with more difficulty.

In view of this greater probability that operative assistance will eventually be necessary, and in view also of the greater safety, to both mother and child, if such assistance be given early, I maintain, contrary though it be to generally accepted teaching, that, instead of being less ready, we should be more ready to assist the delivery in cases of occipito-posterior, than in cases of occi-pito-anterior, position.

I cannot, however, accept as very practicable the plan of rotating the fœtus from an anterior

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