It occasionally happens that a woman in whom the course of pregnancy is
nearly complete dies suddenly from disease, such as hæmoptysis,
hæmatemesis, cardiac trouble, or uterine hæmorrhage in the preliminary
stage of labour; or is killed by accident. In some such circumstance
attempts are sometimes made to rescue the unborn child, by performing
Cæsarean section. It is true that such efforts are rarely attended with
success, but in cases where death is very sudden and the surroundings
such as to enable the operation to be performed without delay, the child
may be extracted from the uterus and survive. Successful cases of this
kind are published from time to time.
In order to show how necessary it is to act promptly the following case
may be mentioned:--
A woman in the eighth month of pregnancy was found to be suffering from
cancer of the neck of the uterus. The child was alive. I decided to
perform hysterectomy. The uterus was exposed through a free incision in
the abdominal wall and quickly detached from its cervix. The uterus with
the fœtus inside was handed to an assistant, who quickly extracted the
child. Although the time which elapsed from the complete etherization of
the mother until the extraction of the child from the uterus was 2-1/2
minutes, it required the display of some energy to induce the child to
breathe. This is the first record as far as I know of a child being
delivered alive from a uterus detached from its mother. The woman died
on the fourth day after the operation, and the child on the fourteenth.
Möglich had a successful case. A patient aged forty-one years, with
placenta prævia, died from hæmorrhage, and an asphyxiated fœtus was
promptly extracted by cœliotomy. Prolonged efforts at artificial
respiration were successful, and the child was well five weeks later
(see also Sippel).
REFERENCES
HUGIER, M., and MONOD, M. Cæsarean Operation immediately after the death
of the Mother. _Lancet_, 1829-30, i. 899.
MÖGLICH. Ueber Kaiserschnitt an der Toten. _Münchener med. Wochensch._,
1908, lv. 202.
SIPPEL. Sectio Cæsarea in mortua. _Monats. f. Geb. u. Gyn._, 1907, xxvi.
618.
OVARIOTOMY AND HYSTERECTOMY DURING PREGNANCY AND IN LABOUR
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account