A caesarian section
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A caesarian section

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A caesarian section
An incision is made next to medial line of the abdomen, which only cuts through the skin. The following incisions penetrate deeper, and eventually to the peritoneum, in which a small cut is made to insert a knife that is used to enlarge the incision further. The edges of the wound are now pulled apart, so that the uterus lies exposed. Next, a small incision is made in the uterus, so that the surgeon can insert his index finger; this cut is again enlarged with the inserted knife, to a length of at most five inches. Finally the amniotic sac is penetrated, the surgeon reaches in with his right hand and pulls out the child by its feet, while his assistant holds uterus and abdominal wall together, so that the intestine cannot fall out. The healing of the uterus is left to nature; the edges of the wound easily grow together since the uterus is naturally contracting at this stage. The wound in the abdominal wall are sutured and bandaged.
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Lot Essay

LS: This operation, bearing the honorific name appropriate for the masterpiece of obstetric surgery, is only performed in cases where the mother's pelvis is too narrow so that a natural (vaginal) delivery is not possible. In such instances the child must be removed by by caesarian section, if the mother is prepared for the risk of sacrificing her own life for that of her child. Only very few obstetricians will find themselves faced with the tragic necessity of performing this operation on living women; it is much more frequently performed on recently deceased persons when there is hope that their child might still be alive. It is in any case a dangerous operation and it is generally assumed that only a third of the women who have to undergo it survive. There are fortunate exceptions, though: there was a woman in Kiel who lived through four cesarean section between 1826 and 1836; some of her children were fortunate enough to survive too.

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