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A new electrode for conization of the cervix
BUXBAUM
:
OUT-PATIENT
OBSTFJTH
-ll!i
I( ‘S
4. One hundred and four babies were lost, a. fetal mortality 01: 1.6 per cent. The fetal mortality for forceps was 5.2 per cent; versions, 34.6 per cent ; prolapsed cord, 29 per cent ; rupture of the uterus, 100 per cent; breech presentation, 7.7 per cent ; and cesarean wctiw. 20 per cent. 5. Twelve mothers died, 3 in their ow.11 homrs, :I. matcrnai mortalit). of' 0.17 per cent. CONCLUSIO?;S
Gnservative, patient management of obstetric cases, especiall) when delivered in the home, is undoubtedly the prime factor in keeping down an already unnecessarily high fetal and maternal mortality. While it is certainly desirable to get a live healthy child, we feel that one is never justified in doing this at any m0derat.e risk to the mother. The value of these statistics is an attempt to establish a possible standard for comparison in the evaluation of results obtained by the average general practitioner and the occasional obstetrician with a similar type of practice, although we realized that comparisons in obstetrics are odious and not accurate, due to diflerences in economic, racial and geographic conditions. Good obstetrics can be done under seemingly unsurmountable obstacles with proper supervision. We feel that universities should take more advantage of this form of’ obstetric education since the student. can get a better insight into the intricacies of abdominal and rectal diagnosis, the mechanism of labor, and the rigid aseptic t,echnic as it must of necessity be pramt,iced in the home.
Crossen, Robert J.: A New Electrode M. 9. 32: 125, 1935.
for
Conization
of
the
Cervix,
J.
Missouri
X new electrode for coniastion of the cervix with a cutting current is presented. It permits the trea’tment of more extensive eases of chronic: cervicitis than does the Hgams electrode. Its use in 80 cases in the hands of 1G different members of a gynecologie service of Washington University over a period of two years shows it to be safe and effective. It removes the entire junction of the squamous and columnar epithelium where carcinoma is most likely to start, thereby giving a better specimen for diagnosis of early carcinoma. Removal of this chronic infected tissue becomes an important factor in the prevention of cervical carcinoma. It is hoped t.hat by combining conization with an anterior and posterior Sturmdorf suture, the eases with extensive eversion ordinarily requiring a Sturmdorf operation can be done with much greater facility. The cases thus handled are as yet insufllcient in number to justify conclusions as to the value of this combined technic. The cutting current eliminates the bleeding which is a troublesome feature of the S~urmdorf 0peratSon. J.
THOB.NWETL
WITRFRSPOO?;.
:
OUT-PATIENT
OBSTFJTH
-ll!i
I( ‘S
4. One hundred and four babies were lost, a. fetal mortality 01: 1.6 per cent. The fetal mortality for forceps was 5.2 per cent; versions, 34.6 per cent ; prolapsed cord, 29 per cent ; rupture of the uterus, 100 per cent; breech presentation, 7.7 per cent ; and cesarean wctiw. 20 per cent. 5. Twelve mothers died, 3 in their ow.11 homrs, :I. matcrnai mortalit). of' 0.17 per cent. CONCLUSIO?;S
Gnservative, patient management of obstetric cases, especiall) when delivered in the home, is undoubtedly the prime factor in keeping down an already unnecessarily high fetal and maternal mortality. While it is certainly desirable to get a live healthy child, we feel that one is never justified in doing this at any m0derat.e risk to the mother. The value of these statistics is an attempt to establish a possible standard for comparison in the evaluation of results obtained by the average general practitioner and the occasional obstetrician with a similar type of practice, although we realized that comparisons in obstetrics are odious and not accurate, due to diflerences in economic, racial and geographic conditions. Good obstetrics can be done under seemingly unsurmountable obstacles with proper supervision. We feel that universities should take more advantage of this form of’ obstetric education since the student. can get a better insight into the intricacies of abdominal and rectal diagnosis, the mechanism of labor, and the rigid aseptic t,echnic as it must of necessity be pramt,iced in the home.
Crossen, Robert J.: A New Electrode M. 9. 32: 125, 1935.
for
Conization
of
the
Cervix,
J.
Missouri
X new electrode for coniastion of the cervix with a cutting current is presented. It permits the trea’tment of more extensive eases of chronic: cervicitis than does the Hgams electrode. Its use in 80 cases in the hands of 1G different members of a gynecologie service of Washington University over a period of two years shows it to be safe and effective. It removes the entire junction of the squamous and columnar epithelium where carcinoma is most likely to start, thereby giving a better specimen for diagnosis of early carcinoma. Removal of this chronic infected tissue becomes an important factor in the prevention of cervical carcinoma. It is hoped t.hat by combining conization with an anterior and posterior Sturmdorf suture, the eases with extensive eversion ordinarily requiring a Sturmdorf operation can be done with much greater facility. The cases thus handled are as yet insufllcient in number to justify conclusions as to the value of this combined technic. The cutting current eliminates the bleeding which is a troublesome feature of the S~urmdorf 0peratSon. J.
THOB.NWETL
WITRFRSPOO?;.