Symphysiotomy

Abstract

There seems to be evidence that symphysiotomy is still important to the obstetrician. Unfortunately, as A.D.H. Browne, (quoted by D.A.M. Gebbie), used to say, 'The main barriers against symphysiotomy remain in the minds of the obstetricians'. In other words, it is a question of prejudice. Nevertheless, I do believe that such prejudice should be fought against and overcome. As a matter of fact, if it is true that in the wealthier Western world, overequipped and overprovided with all kinds of medical and social facilities, such a restriction is perhaps acceptable, there is no doubt that in many developing countries, where over-population, malnutrition and allied diseases are prevalent, and where the needs of trained personnel are far beyond the actual possibilities and a desperate lack of medical facilities is still the rule, the simple, quick, and effective procedure of subcutaneous symphysiotomy, has still much to recommend it.