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SymphysiotomyFrom: Darach Corcoran (djdc@iol.ie)Fri Apr 12 17:32:40 1996
This operation was extensively practiced in Ireland in the 1940's and '50's. It was regarded as a treatment for cephalo-pelvic disproportion in a Catholic country in an era when sex education was non-existent, contraception contrary to the religious beliefs of the great majority, and large families the norm. The lower segment section operation was still rare. It had the advantage of curing the disproportion, thus avoiding a string of repeat operations with no prospect of sterilisation, but frequently was complicated by locomotor difficulties, and urinary problems. The National Maternity Hospital, Holles Street has extensive records in it's published reports of those times. I carried out one many years ago, when I walked into a situation of a stuck after-coming head of a breech due to a small pelvis. It gave me enough room to deliver the baby safely, but I would hate to find myself in that situation again. Regards, Darach
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