Cranial osteomyelitis as complication of vacuum extractor

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indicated vaginal operative delivery was investigated. It was determined that the incidence of operation was 17.4 per cent. However, in the course of several years, this has dropped to 5.7 per cent, compared to 9.1 per cent in control patients There were no maternal deaths. The uncorrected fetal mortality rate was 5.8 per cent. Nine cases of incomplete separation of the scar were found during the first stage of labor. Based on these results, the author pleads for expectant conduct of labor following previous cesarean section, unless a specifically new primary indication for the repeat cesarean section presents itself. Version and extraction and so-called prophylactic obstetrical operations in these cases are considered contraindicated. Walter F. Tauber

Selected abstracts 843

No. 14J April 6, 1963. *Geeling, J., and Mobius, G.: Cranial Osteomyelitis as Complication of the Vacuum Extractor, p. 469.

Geeting and Mobius: Cranial Osteomyelitis as Complication of Vacuum Extractor, p. 469. This is a case report of a 5-day-old baby, who was delivered by vacuum extractor after the mother had undergone labor for 62 hours. At autopsy, an erosion of the skin was found at the site of the application of the vacuum bell, and an infection had developed in a subaponeurotic hematoma and this progressed to cranial osteomyelitis. Walter F. Tauber