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Indications and technic of episiotomy
366
AMERICAS
JOTTRSAI,
OF
OIWTETRICS
AND
GYNECOLOGY
Babies weighing 4,000 gm. and more vvere born to 24.7 per cent of the overweight group and to only 4.4 per cent of the control series. The fetal mortalityin these two groups was 6.7 per cent an11 0.6 per cent, respectively.
Reist,
A.:
Signi6cance
of
turbances
iu Dilatation
66:
1936.
7176,
Manual
Dilation
of
of Soft Parts During
OS Uteri
Birth,
in Treatment Schweiz. med.
of DisWchnschr.
If a careful technique is employed and asepsis is preserved, manual dilatation of t,he OS uteri produces in suitable cases the desired results, that is, rapid termination of the period of dilatation. It is helpful in certain cases in which dilatation is retarded or has completely stopped, because it permits spontaneous delivery in a manner that involves no danger for either mother or child. Manual dilatation of the OS uteri can be used also for rapid opening of the soft parts for the purpose of an immediate delivery in cases in which danger appears suddenly for either mother or child. Reist uses this procedure in 4-6 per cent of all deliveries. Its correct employment reduces the number of extensive vaginal obstetric interventions as well as infant mortality during birth. .J. P. GREEKHILL Taylor, 493,
I-I. C., 1937.
Jr.:
Indications
Correct use of episiotomy consideration of whether to balancing of a known type trauma from the stretching Regret for having performed certainly less permanent than
and
Technic
of
Episiotomy,
Am.
forms one of t,he niceties of obstetric undertake the operation in a given of surgical injury against an unknown effects of the presenting part against needless episiotomy is probably less t,hat experienced at times for having
J.
Surg.
35:
practice. The case demands degree of the perineum. frequent and omitted it.
J. P. GREENHILT. Jahier : 1937.
Fifty-Sewn
Breech
Deliveries,
Bull.
Sot.
d’obst.
et de gynec.
26:
615,
Among the 57 breech presentations reported by the author there were 35 primiparas and 22 multiparas. There was no maternal mortality in this series but three babies were lost. The author makes a few recommendations. Among these are that two obstetricians be present in cases where difficulty is expected, so that they may take turns in executing the delicate maneuvers necessary for delivery of the child. An episiotomy should be done routinely and in many cases it should be bilateral. The author recommends that thin gloves be used and that they should be well lubricated. He also urges that all equipment be at hand for the resuscitation of the newborn. J. P. GREENHILL
C. H. G., and McClure, H. I.: Delivery, Brit. M. J. 2: 1112, 1937.
Macafae,
A Critical
Survey of 349 Cases of Breech
Three hundred and forty-nine cases of breech delivery formed the basis for the following conclusions: 305 were primary breech presentations. In all, 332 mothers were delivered of 349 babies, i.e., there were seventeen cases of twins in which each child was delivered by breech. Outside of 3 cesarean sections, all deliveries were performed by usual methods. The gross fetal mortality was 33.8 per cent, being 23.72 for primiparas and 38.96 per cent for multiparas. Corrected rates, eliminating those cases in which the death of the fetus was not primarily or directly due to the breech presentation, gave a 10 per cent fetal mortaIity for primiparas and 3.42 per cent for multiparas.
AMERICAS
JOTTRSAI,
OF
OIWTETRICS
AND
GYNECOLOGY
Babies weighing 4,000 gm. and more vvere born to 24.7 per cent of the overweight group and to only 4.4 per cent of the control series. The fetal mortalityin these two groups was 6.7 per cent an11 0.6 per cent, respectively.
Reist,
A.:
Signi6cance
of
turbances
iu Dilatation
66:
1936.
7176,
Manual
Dilation
of
of Soft Parts During
OS Uteri
Birth,
in Treatment Schweiz. med.
of DisWchnschr.
If a careful technique is employed and asepsis is preserved, manual dilatation of t,he OS uteri produces in suitable cases the desired results, that is, rapid termination of the period of dilatation. It is helpful in certain cases in which dilatation is retarded or has completely stopped, because it permits spontaneous delivery in a manner that involves no danger for either mother or child. Manual dilatation of the OS uteri can be used also for rapid opening of the soft parts for the purpose of an immediate delivery in cases in which danger appears suddenly for either mother or child. Reist uses this procedure in 4-6 per cent of all deliveries. Its correct employment reduces the number of extensive vaginal obstetric interventions as well as infant mortality during birth. .J. P. GREEKHILL Taylor, 493,
I-I. C., 1937.
Jr.:
Indications
Correct use of episiotomy consideration of whether to balancing of a known type trauma from the stretching Regret for having performed certainly less permanent than
and
Technic
of
Episiotomy,
Am.
forms one of t,he niceties of obstetric undertake the operation in a given of surgical injury against an unknown effects of the presenting part against needless episiotomy is probably less t,hat experienced at times for having
J.
Surg.
35:
practice. The case demands degree of the perineum. frequent and omitted it.
J. P. GREENHILT. Jahier : 1937.
Fifty-Sewn
Breech
Deliveries,
Bull.
Sot.
d’obst.
et de gynec.
26:
615,
Among the 57 breech presentations reported by the author there were 35 primiparas and 22 multiparas. There was no maternal mortality in this series but three babies were lost. The author makes a few recommendations. Among these are that two obstetricians be present in cases where difficulty is expected, so that they may take turns in executing the delicate maneuvers necessary for delivery of the child. An episiotomy should be done routinely and in many cases it should be bilateral. The author recommends that thin gloves be used and that they should be well lubricated. He also urges that all equipment be at hand for the resuscitation of the newborn. J. P. GREENHILL
C. H. G., and McClure, H. I.: Delivery, Brit. M. J. 2: 1112, 1937.
Macafae,
A Critical
Survey of 349 Cases of Breech
Three hundred and forty-nine cases of breech delivery formed the basis for the following conclusions: 305 were primary breech presentations. In all, 332 mothers were delivered of 349 babies, i.e., there were seventeen cases of twins in which each child was delivered by breech. Outside of 3 cesarean sections, all deliveries were performed by usual methods. The gross fetal mortality was 33.8 per cent, being 23.72 for primiparas and 38.96 per cent for multiparas. Corrected rates, eliminating those cases in which the death of the fetus was not primarily or directly due to the breech presentation, gave a 10 per cent fetal mortaIity for primiparas and 3.42 per cent for multiparas.