66 The Philippine Journal of Science 1815 
conclusions given in my preliminary report are confirmed by 
results; therefore they are entitled to receive the approval which 
they deserve. 
During that period of time 17 cases of abdominal Czsarean 
section were performed, giving the following results: 
TABLE I.—Results of Cesarean section in cases in the Philippine Islands. 
mee ab eee * = ae 
fe Num-;| Per 


a 
g 
A 
Operated for placenta przvia: j 
Recovered) 2c his: ie oe see ae os a ee se ee eee ee ae | 42 ose | 
Died ote ts STNG Bike Ze soe Ne Ed a eR ee a re 3) eee | 
Operated forieclampsia, recovered =s-8 a en ee 2, Bee oat | 
Operated for premature separation of placenta, died.____________________________ 1 | coe. = 
TotaliCzesarean sections! s 25) ee a cee eee ee ee ets Ee © eee eee EY GO Herc ee 
Votalimaternalid cath as a. ee ee eee ee eee ae a eee ee ee 4 23 
Babies: 
Tavin gies 2 2S seed ARN Ps fer See ees ae Soe een sees eee eee 5 29 
Diediseveral hours/atter birth kere eee eee ye es ee ee ee 7 41 


Stillborn) 25s. 5122.42 3522-32 es Sa ee ee a eee 5 29 / 
The fact should not be forgotten that the majority of the 
patients coming to the hospital with placenta previa are already 
exhausted by loss of blood and that they come to the hospital 
only as a last resort. 
Of these 17 Ceesarean sections, 15 were performed in the de- 
partment of obstetrics of the Philippine General Hospital, 1 in © 
the San Juan de Dios Hospital, and 1 in the Casa de Salud of 
Drs. Quintos, Angeles, and Velarde. In one of these cases the 
operation was performed on a woman at the eighth month of 
pregnancy, who entered the Philippine General Hospital in a 
serious condition, being unconscious and having convulsive at- 
tacks every five minutes. The cervix was not dilated. Czsar- 
ean section was performed, and both the mother and the feetus 
were saved. In this particular instance, we can readily see 
that, besides placenta previa, Ceesarean section also finds a wide 
field of usefulness in cases of eclampsia during pregnancy in 
which the cervical os is closed, as in these cases, instead of 
wasting our time dilating the cervix by means of balloons and 
other cervical dilators, a process which requires at least twelve 
hours to induce labor, we can solve the gravity of the problem 
in from thirty to forty minutes, if we resort to the abdominal 
Cesarean section. 
Another indication for abdominal Cesarean section is given 
by those women who have contracted pelves and who always 



