x,B,1 Calderon: Cxsarean Section in Philippine Islands 67 
deliver a stillborn fetus. I know of some of these cases in 
Manila, and I hope that as the use of Cesarean section is be- 
coming more general it will also become the operation of choice 
for this kind of cases, especially if we take into consideration 
the fact that Cesarean section, if performed at the right time 
and not as a last remedy, is entirely free from any danger and 
insures the safe recovery of the patient. 
One thing which is of great importance in connection with 
Cesarean section is the mode of procedure before and after 
the operation—that is, the preliminary treatment and the after- . 
treatment. In the Philippine General Hospital, whenever the 
hemorrhage has been profuse and the patient shows the symp- 
toms of acute anemia, our attention first is directed to improv- 
ing the condition of the patient by administering stimulants, 
such as strychnin or camphorated oil, and by hypodermoclysis 
of normal salt solution, 500 cubic centimeters or more being 
injected under each breast. This procedure may be repeated 
again during the operation if necessary. After the operation, 
the patient is placed in Trendelenburg position, camphorated 
oil is given hypodermically, 1 cubic centimeter every hour or 
two, and protoclysis of normal salt solution given in drop method. 
This mode of treatment is usually all that is needed, but in more 
serious cases where the loss of blood has been very great hypo- 
dermoclysis may be repeated in addition. Of course, it is need- 
less to say that different cases require different methods of 
treatment. k 
‘During the last two months of this year, two of the first pa- 
tients operated by me came back for confinement. In both cases, 
delivery was effected normally without the least sign of any 
untoward complication that might be attributed to Czsesarean 
section. 
