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C W Gudgeon

Publications and source records attributed to C W Gudgeon.

10 recordsLinked to original sources

Pelvimetry--a squatter's view.

Patients were X-rayed in supine and squatting positions in order to measure any increase in pelvic outlet diameters. An increase of less than 2% was found. Previous estimates of 20-30% increases in pelvic outlet area were not duplicated.

Adult

Vacuum extraction and forceps delivery in a district hospital.

We compared 302 vacuum extractions and 205 forceps deliveries at Fairfield District Hospital, Sydney, over a period of 30 months. Age, parity, gestational age, length of labour and birth-weight were not significantly different between the 2 groups. Significantly less analgesia was required for mothers whose babies were delivered by vacuum extraction compared with mothers with forceps deliveries (p less than 0.01). Average blood loss was slightly higher during forceps delivery as compared with vacuum extraction and there was a significantly higher incidence of postpartum haemorrhage after forceps delivery (p less than 0.05). More babies were jaundiced after vacuum extraction and more required phototherapy, but the differences were slight and were not statistically significant. We conclude that vacuum extraction is a useful and safe alternative to forceps delivery in a district hospital setting.

Adolescent

Inversion of the uterus. Replacement without general anaesthesia.

Three cases of acute inversion of the uterus were managed by immediate manual replacement without general anesthesia. They are recorded to emphasize that recognition and prompt action prevent the onset of serious complications and the problems with reduction usually reported with this condition.

Adult