British medical journal
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British medical journal · Jun 1972
Vaginal delivery under caudal analgesia after caesarean section and other major uterine surgery.
In the absence of a recurring indication for caesarean section vaginal delivery in subsequent pregnancy is a "trial of scar," with potentially serious implications for mother and baby. Labour under caudal analgesia was carefully supervised for 75 women with a surgically scarred uterus-due to lower segment section in 72, abdominal hysterotomy in one, and transcavity myomectomy in two. Every caesarean scar was assessed digitally during labour and every uterus was examined after delivery. ⋯ Seventy mothers had 71 vaginal deliveries with one pair of twins and one breech. There was one stillbirth and no neonatal death. There were five repeat sections.
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British medical journal · Jun 1972
Comparison of subjective estimates by surgeons and anaesthetists of operative blood loss.
Altogether 100 cases were studied to compare the subjective estimates of operative blood loss by anaesthetists (six in number) and by surgeons (22 in number). Their estimates were compared with the blood loss measured by a colorimetric method, which was assumed to be the operative blood loss. The results showed that surgeons are less reliable judges of operative blood loss then anaesthetists. When objective measurement of operative blood loss is impracticable the anaesthetist and the surgeon should jointly make a subjective estimation.