5. Cæsarean section.

If the patient is a multipara, sterile linen should be on and attendants ready for the delivery before an injection is given.

Conditions.

1. Cervix effaced.

2. Os admits three fingers. (Better if membranes have ruptured.)

3. Head should be engaged.

4. No mechanical obstacle to delivery such as tumors or markedly contracted pelvis, etc.

Dangers of Long Labors.

Compression of cord.

{Vesicovaginal fistulæ.