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35
Induction of labour by puncture of membranes—
Number of cases
18
Indications (sometimes more than one present)—
Pre-eclamptic toxaemia
15
Placenta praevia
2
Monster
2
Post-maturity
2
Accidental haemorrhage
1
Hydramnios
1
Previous large child
1
After successful version in breech presentation
1
Results—Mothers, all satisfactory.
Babies—Good
11
Neo-natal death (both very premature)
2
Still birth (as follows) :—
Macerated foetus
Toxaemia with ante-partum haemorrhage
Hydrocephalic monster
Anencephalic monster
Toxaemia with impacted shoulders
5
Trial labours—
Number of cases
61
Indications—High head, with possible disproportion,
and in a few cases history of previous
difficult labour.
Results in reference to labour—
Spontaneous normal delivery
52
Forceps delivery
5
Caesarean section
4
Craniotomy
0
Results—Mothers all well. Babies all well.
Ccesarean sections—
Number of cases
7
Indications—
Contracted pelvis, not in labour
1
„ „ after trial of labour
4
Cardiac disease in mother
1
Frank breech in elderly primipara
1
Results—Mothers all well. Babies all well.
Breech presentations—
Number of cases (of which (?) one only undiagnosed
in ante-natal department)
16
Results—Mothers all well.
Babies—Good, 13 cases: neo-natal death, 2
cases (1 anencephalic monster ; 1 very premature
twin); still-born 1.