Part 12 (2/2)
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Caes. Sect. and
_Lancet_, 1904, ii.
Subtotal Hyst.
948.
Spencer
R.
L.
Caes. Sect.,
_Trans. Obstet. Soc._,
Total Hyst.
1906, xlviii. 240.
Spencer
R.
D.
Caes. Sect.,
_Trans. Obstet. Soc._,
Total Hyst.
1908.
Pollock
R.
L.
Caes. Sect.,
_Trans. Obstet. Soc._,
Subtotal Hyst.
1908.
The aim of the surgeon is to save the life of the child as well as that of the mother. To this end, when the operation is carried out and the uterus exposed the child is extracted by Caesarean section. Then in the majority of cases total or subtotal hysterectomy is performed. This is sometimes clumsily termed Caesarean hysterectomy. In some instances the operator has been content merely to perform Caesarean section in the hope that the patient may wish to reconceive.
In order to afford some notion of the frequency with which fibroids cause trouble to pregnant and parturient women, I have collected thirty-six cases which have been reported to the London Obstetrical Society from 1900 to 1908 (both years inclusive), and arranged them in the subjoined tables: they show in an unmistakable way that pregnant women with fibroids do often require aid from surgery, and that such efforts are rewarded with success. There is no condition which simplifies hysterectomy so much as pregnancy.
A TABLE OF CASES IN WHICH ABDOMINAL HYSTERECTOMY WAS PERFORMED FOR PREGNANCY COMPLICATED WITH FIBROIDS
These cases are recorded in the _Transactions of the Obstetrical Society_, 1900-8, both years inclusive.
------------+---------+--------------------+--------+-----------------
_Age
_Period
_Result
_Reference _Recorder._
of
of
to
to
Patient._
Pregnancy._
Mother._
Volume._ ------------+---------+--------------------+--------+----------------- Horrocks
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5th month
?
1900, xlii. 242.
Routh
33
33 weeks
R.
Ibid., 244.
Doran
40
5th month
R.
1901, xliii. 178.
Donald
43
9th month
R.
1901, xliii. 180.
Donald
34
4th month
R.
Ibid.
Donald
34
4th month
R.
Ibid.
Donald
41
4th month
R.
Ibid.
Routh
?
8-1/2 months
R.
1902, xliv. 41.
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