Moral Principles and Medical Practice - The Basis of Medical Jurisprudence by Charles Coppens
page 36 of 155 (23%)
page 36 of 155 (23%)
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craniotomy in their profession. You will find them in accord with the
conclusions at which we have arrived by reasoning upon the principles of Jurisprudence. Dr. W. H. Parish writes ("Am. Eccles. Review," November, 1893, p. 364): "The operations of craniotomy and embryotomy are to-day of relatively infrequent occurrence, and many obstetricians of large experience have never performed them. Advanced obstetricians advocate the performance of the Cesarian section or its modification--the Porro operation--in preference to craniotomy, because nearly all the children are saved, and the unavoidable mortality among mothers is not much higher than that which attends craniotomy. Of one hundred women on whom Cesarian section is performed under _favorable conditions_ and with _attainable_ skill, about ninety-five mothers should recover and fully the same number of children. Of one hundred craniotomies, ninety-five mothers or possibly a larger number will recover, and of course none of the children. The problem resolves itself into this: Which shall we choose--Cesarian section with one hundred and ninety living beings as the result, or craniotomy with about ninety-five living beings?" Even if a liberal deduction be made for unfavorable circumstances and deficient skill, the results, gentlemen, will still leave a wide margin in favor of Cesarian section. My second extract is from an article of Dr. M. O'Hara, and it is supported by the very highest authorities (ib. p. 361): "Recently [August 1, 1893] the British Medical Association, the most authoritative medical body in Great Britain, at its sixty-first annual meeting, held at Newcastle-upon-Tyne, definitely discussed the subject before us. In the address delivered at the opening of the section of Obstetric Medicine and Gynecology, an assertion was put forth which I regard as very remarkable, my recollection not taking in any |
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