Abstract
Here is a vignette of an obstetric nightmare: A primipara is admitted for induction of labor. Primary uterine inertia develops, necessitating acceleration of labor. The baby is discovered to be in the occipitoposterior position. Secondary uterine inertia then sets in. Two alternatives present themselves. Either cervical dystocia and pelvic arrest have to be dealt with, or absolute disproportion becomes apparent and a cesarean section is resorted to.On the flyleaf of Irving Potter's The Place of Version in Obstetrics is the following dedication:To the “Woman in Travail”In the reverent hope thather “hour” may be shortened,her “anguish” lessened, andher “joy” made complete.We have presented the circumstances and conditions that may have a detrimental effect on labor and delivery.
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