- Email: [email protected]
Posterior position of the occiput in labor
NLilting : Frontum Presentations in the Maternity Hospital the Maternity Institute, B~VIXUI:L nlCtl. 16: 12X. 1932.
of Rividavia
and in
N6lting designates any deflexion attitude at the superior strait a frontum yresentation. This condition occurred 37 times in 21,639 casts: Spontaneous delivery 12, forceps delivery 7, internal version 6, cesarean section 5, Thorn’s maneuver rl, artificial ehangc to faec presentation 2, Schatz ‘s maneuver 1, spontanoeus flesxion 1, destructive operation 1 j maternal mortality 2.7 per cent, fetal mortality 8.1 per cent (internal version 1 death, forceps 3 deaths). C!ontracted pelvis was the cause of the dystocia in 4X.6 per ccut of the ciasc?;. The author believes that in a normal pelvis version is the proln’r treatment. Foi a contracted pelvis he advises cesarean section. JAM
Westman, A.: The Breech Presentations at the Stockholm Clinic From 1916 to 1930, Arta obst. ct ggnec. Scanrlinav.
KS hf.
University 11:
112,
PlEH(‘E.
Woman’s 1931.
There were 993 breech deliveries representing an incidence of 2.3 per cent. abnormalify of the uterus, and polyAmong the etiologie factors, contracted pelvis, hydramnios were absent. This presentation was more frqucnt among primiparns than among multiparas. In 24.6 per cent of the cases the delircry was prematurr and in 32.8 per cent the bag of waters ruptured before or at the onset of labor. Labor was prolonged in most cases. The maternal death rate was 0.27 per cent. The corrected fetal mortality was 8.8 per cent for all the cases, 11.2 per cent for the primiparas, and 5.2 per cent for t,he multipai-as. Most of the deaths occurred in women over thirty years of age. The treatment in most cases was expectant. In those delivcrrd spontaneously the fetal mortality was 4.2 per cent for the primiparas and 2.9 per cent for t,he multiparas. Where manual aid was rendered the figures were 14.3 per cent and 5.3 per cent respectively, and for t,he operative deliveries the rates wcrc 33.3 per cent :lna 16.7 per cent. In cases of early rupture of the membranes and weak pains, the author advocates the use of a bag and the injection of thymophysin. Since the fetal mortality is high in old primiparas, cesarean section should be considered. J. P.
GREE,NIIILI,.
of Rividavia
and in
N6lting designates any deflexion attitude at the superior strait a frontum yresentation. This condition occurred 37 times in 21,639 casts: Spontaneous delivery 12, forceps delivery 7, internal version 6, cesarean section 5, Thorn’s maneuver rl, artificial ehangc to faec presentation 2, Schatz ‘s maneuver 1, spontanoeus flesxion 1, destructive operation 1 j maternal mortality 2.7 per cent, fetal mortality 8.1 per cent (internal version 1 death, forceps 3 deaths). C!ontracted pelvis was the cause of the dystocia in 4X.6 per ccut of the ciasc?;. The author believes that in a normal pelvis version is the proln’r treatment. Foi a contracted pelvis he advises cesarean section. JAM
Westman, A.: The Breech Presentations at the Stockholm Clinic From 1916 to 1930, Arta obst. ct ggnec. Scanrlinav.
KS hf.
University 11:
112,
PlEH(‘E.
Woman’s 1931.
There were 993 breech deliveries representing an incidence of 2.3 per cent. abnormalify of the uterus, and polyAmong the etiologie factors, contracted pelvis, hydramnios were absent. This presentation was more frqucnt among primiparns than among multiparas. In 24.6 per cent of the cases the delircry was prematurr and in 32.8 per cent the bag of waters ruptured before or at the onset of labor. Labor was prolonged in most cases. The maternal death rate was 0.27 per cent. The corrected fetal mortality was 8.8 per cent for all the cases, 11.2 per cent for the primiparas, and 5.2 per cent for t,he multipai-as. Most of the deaths occurred in women over thirty years of age. The treatment in most cases was expectant. In those delivcrrd spontaneously the fetal mortality was 4.2 per cent for the primiparas and 2.9 per cent for t,he multiparas. Where manual aid was rendered the figures were 14.3 per cent and 5.3 per cent respectively, and for t,he operative deliveries the rates wcrc 33.3 per cent :lna 16.7 per cent. In cases of early rupture of the membranes and weak pains, the author advocates the use of a bag and the injection of thymophysin. Since the fetal mortality is high in old primiparas, cesarean section should be considered. J. P.
GREE,NIIILI,.