Many changes have occured in obstetrics during the past decade and a half. Many different technologies aimed at reducing perinatal morbidity and mortality have been in-troduced which have changed the manner in which obstetrics is practiced. At the Sloane Hospital for Women (Columbia University) the perinatal mortality rate has been reduced from 25 to <10 (1000 livebirths, 1000 gras & 28 days); virtually all intrapartum patients are monitored elec-tronically and 25 % undergo acid-base monitoring with al-most total elimination of intrapartum stillbirths and a reduction of morbid Apgar scores (^6) to 10 % & 1.1 % at l and 5 minutes. The primary caesarean section rate has climbed to 14 % (total=23%), but the incidence of fetal distress äs a cause for a primary caesarean section has dropped to 11 % while the percentage performed for cepha
To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.