THE DUTY OF THE PHYSICIAN TO THE SCHOOL CHILD
Journal of the American Medical Association (JAMA)
agreed with the authors. He has always felt hopeful for the classical Cesarean section, anl plead for section or surgical interference at term rather than the induction of premature labor in already contracted pelves. The elective Cesarean section has the least mortality, and if it were only possible to decide with ease its indication as in some surgical problems, this, he said, would be the operation to perform. Until it is possible to estimate the size of the fetal ovoid, better study the
... ent's general condition, determining the onset of labor and know how well the uterus will perform its function; in his opinion it will be better to permit the larger proportion of cases of contracted pelvis have the test of labor. He felt that if the patient is carefully watched during labor with the anticipation of possible surgical interference, the mortality of section will be rapidly decreased. The test of labor will be the only way to decide on the course to pursue. Those who favor the induction of labor claim that it is indicated in pelves of a moderate degree of contraction. In one case under his observation a rachitic and greatly contracted pelvis, the patient went to term and was delivered spontaneously, pointing out the difficulty of determining before labor the case that will require Cesarean section. Dr. Daniel Longaker, Philadelphia, thought the plan of sterilizing the woman where the repetition of pregnancy is undesirable a wise one, and he followed it in a case of his own.