It is not the purpose of this paper to decide what degree of contraction or what other obstructions render birth through the natural passages impossible, nor is it its purpose to consider the indications for inducing premature labor, but simply to discuss which shall be done—some form of Cæsarean section or a craniotomy in cases in which election between them is called for and possible.
Of course the first and most important thing to be considered (not the only question however), is the maternal risk or mortality under the respective operations. If it should be proven that the one in all cases or in most cases, is exceedingly more dangerous to the mother than the other, our action should be largely guided by that determination. There are conditions which modify this mortality in individual cases; whether, on the one hand, the mother through long labor and ignorance or neglect, or
McKELWAY GI. DELIVERY THROUGH THE ABDOMINAL WALLS vs. CRANIOTOMY, IN OTHERWISE IMPOSSIBLE BIRTHS. Read before the Section of Gynecology and Obstetrics, at the Forty-third Annual Meeting of the American Medical Association, at Detroit, Mich., June, 1892. JAMA. 1892;XIX(1):5–9. doi:10.1001/jama.1892.02420010011001a
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