A COMPARISON OF THE EARLY AND LATE EFFECTS OF SUBCUTANEOUS SYMPHYSIOTOMY AND OF LOWER SEGMENT CAESAREAN SECTION

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Abstract
Summary: One hundred and five women who had a subcutaneous symphysiotomy were compared with 105 women who had a first lower segment Caesarean section. All operations were performed for cephalopelvic disproportion during the years 1961 to 1969. The perinatal mortality for both operations was the same when they were performed for similar indications. There were two maternal deaths after Caesarean section and one after symphysiotomy. In 1971, 109 of the 207 survivors were interviewed and 29 other women were known to be alive. No difference was noted between non‐pregnant women who had had a properly performed symphysiotomy and those who had had a lower segment Caesarean section. Subsequent fertility was similar, but delivery was more often associated with problems in the Caesarean section group. In the economic and social conditions prevailing in some developing countries it would be beneficial if subcutaneous symphysiotomy were to replace lower segment Caesarean section in cases of moderate cephalopelvic disproportion.
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