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The main reasons for Forceps Deliveries were: Rigid soft parts,
25; Posterior position, delayed rotation, 16; Disproportion, 15;
Foetal distress, 19 ; Various other causes, 3.
Caesarean Section.
Caesarean Section was performed 45 times: 30 " Booked " and
9 " Emergency " cases at Mayday Hospital, and 6 " Booked " cases
at St. Mary's Maternity Hospital. In 26 cases the indication was
contracted pelvis and disproportion, 4 pre-eclamptic toxaemia, 4
placenta praevia, 4 heart disease, 1 obstructed labour, 1 eclampsia,
1 ruptured rectus muscle, 1 prolapsed cord, and 3 accidental
haemorrhage.
There were 3 maternal deaths due to accidental haemorrhage
and 1 of contracted pelvis. There were 2 still births.
Bipolar and Internal Version (9 cases).
At both hospitals there were 3 " Booked " cases treated by
internal version for shoulder presentation, 2 at Mayday and 1 at St.
Mary's, and 1 " Booked " case for transverse presentation at Mayday
Hospital. No mother died. 2 infants were stillborn.
Three " Emergency " cases at Mayday Hospital were treated
for shoulder presentation. One mother died. One baby was stillborn
and 1 died, a mortality of 66 per cent.
Two cases were treated for placenta praevia. There were no
maternal deaths, 2 stillborn babies.
Embryotomy.
Embryotomy was performed 3 times in Mayday Hospital
Booked " cases admitted for obstructed labour, and twice in St.
Mary's " Booked " cases. Also in 1 Mayday Hospital " Booked "
case, in uterine inertia, and 1 St. Mary's " Booked " case after
internal version. There were 3 maternal deaths.
Manual Removal of Placenta.
Manual removal was performed 23 times. There were 10
Booked " cases and 3 " Emergency " cases at Mayday Hospital,
and 10 " Booked " cases at St. Mary's Hospital. One "Booked "
case died, at St. Mary's Hospital,