Word: caesarean
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...labor-inducing drug, or by artificially rupturing the amniotic membranes. They may order the mother to "Push, you lazy female!" when she does not feel the natural urge to push. And after she has pushed vainly for several hours, they may decide she is exhausted and perform a caesarean section. "We respond to 'maternal exhaustion,'" says Harrison, "when we can't take it anymore...
Exhaustion is only one of many roads to a caesarean. In fact, it often seemed to Harrison that all roads led there. If the mother has not delivered within two hours after her cervix has dilated fully, protocol generally calls for a caesarean or forceps-assisted delivery. If highly sensitive monitors detect "fetal distress," a section is of ten done. If the mother has received so much local anesthetic that she cannot push, she may be cut. Three out of the first four deliveries at "Doctors" in which Harrison assisted were caesareans, though the hospital records show a 19% rate...
...Israel Hospital. Though Friedman expresses respect for Harrison's med skills, he feels that her book describes an obstetrics that is passé. "We've become enlightened," he says. "We do not intervene willy-nilly." He cites a declining episiotomy rate, efforts to control the number of caesareans and a willingness to "allow labor to evolve." This view is affirmed by Dr. Warren Pearse, executive director of the American College of Obstetricians and Gynecologists. The national caesarean rate, says Pearse, is about 17%, and, he predicts, with efforts now under way, "it drop back to the neighborhood...
...white-line junkyard; the only amenity is staying alive. Where there was high culture, now there is only car culture. In one of the film's first images, an automobile breaks angrily through one side of the truck that has been holding it; this is the caesarean birth of the new mutant marauders. They race across the scarred landscape on stripped-down motorcycles, killing for fuel, raping for fun, going to hell at 80 m.p.h. In a jerry-built fortress, the more admirable survivors have assembled an oil refinery-but, surrounded by the marauders, they cannot escape...
...woman pregnant for the first time after 35 is an "elderly primigravida." If that sounds unappealing, it may reflect the medical establishment's longtime disapproval of delayed motherhood. The traditional view was that pregnant women in their 30s were risky patients, complications could be expected, and a caesarean, many doctors thought, was pro forma...