LOW CERVICAL CESAREAN SECTION (LAPAROTRACHELOTOMY)

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Abstract
The majority of the cesarean sections of the United States are being performed by general surgeons who have little knowledge of the mechanism of labor or of obstetric indications and the safe time for the operation. Therefore, the mortality is very high. The mortality of the classic section is greater than is generally known, because statistics are hard to get. Twenty-one women died after cesarean section in Chicago last year, according to Dr. M. O. Heckard of the Vital Statistics Bureau. E. Holland and Munro Kerr compiled 3,314 cesarean sections performed for contracted pelvis in Great Britain in the years 1911 to 1920 inclusive, and found an average mortality of 4 per cent., the extremes being 1.6 per cent, in the early, clean cases, and 27 per cent, in those operated on late, or after delivery had been attempted. At the Chicago Lying-in Hospital, in the last eight years, we

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