Manual of Antenatal Pathology And Hygiene : the Foetus

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Certain facts which were pointed out in Chapter IX. (p. 134, et seq.) must here be kept in mind : they were the degree of the automatic activity of the fcetal heart and its less immediate dependence upon an oxygenated state of the blood circulating through it. From these characters of fcetal cardiac action it might be permissible to conclude that foetal death would generally be established very slowly. On the other hand, there is the well-known fact that in maternal death Csesarean section must... be performed very quickly if the foetus is to be saved. In the latter case, however, the maternal part of the placenta is dead, while in the former it is alive ; further, in tlie latter case the attempt is made to excite cardiac action by setting up extrauterine (pulmonary) respiration, probably a more difficult matter than to re-excite cardiac action by removing the obstacles to placental respiration. On account of these facts, and by reason of the difficulties of antenatal diagnosis, it becomes a very difficult problem to give an opinion as to the death of the fcetus in utero.

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