THE TREATMENT OF HYPERPIESIA
1929; BMJ; Volume: 2; Issue: 3592 Linguagem: Inglês
10.1136/bmj.2.3592.844
ISSN0959-8138
Autores ResumoTREATMENT OF HYPERPIESIA.[ THEDflsl'su had been senit to a hospital without previous vaginal ex,amination and operated -upon in time.To miiy uinderstandingfflthe efforts of Dr. Hirsch are creditable in so far that the early removal of comiiplicated cases to lhospitals anid tlle omllittinlg of unnecessary vaginal examiiniiationis would certainly bring about a decreasing puerperal miiorbiditv anid mortality.But to me it seems exaggerate(l to go) so far as Hirsch wants to do.The new orientation that he so strolngly advocates and wishes to initroduce is already partly realized, and the surgical tenidenicies in obstetrics are notlling new.I my-self lhave peLformed Caesarean section in 20 out of 200 patients witlh placenta praevia.I believe that no experienced obstetrician would hesitate about Caesarean section if lie was really convinced that this operation wvould conifer a better prognosis wlitlhout increasinig the risks for motlher or clhild.Neither do I believe in the necessity or possibility of transferring all cases to hospitals, as Hirsclh insists upon.The majority of labours go well by means of nXitural forces alone, anid there is indeed no, branch of
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