title: Symphysiotomy.
abstract: The place of symphysiotomy, as an alternative to Caesarean section (CS), in the management of established obstructed labour in low- and middle-income, resource-poor countries (LMICs), is reviewed. It is suggested that it does have a very definite place, especially in mothers of low age and parity, in circumstances where medical facilities are limited, where antenatal care and hospital delivery are not assured in a future pregnancy, and in cultures where it is important to the woman that a vaginal delivery is achieved.
authors.affiliation: Formerly Department of Obstetrics & Gynaecology, Kilimanjaro Christian Medical Centre, Tanzania (1973-1978) Formerly Department of Obstetrics & Gynaecology, Furness General Hospital, Barrow in Furness, UK (1978-1990).
authors.forename: Peter
authors.initials: P
authors.lastname: Armon
mesh_terms: D036861:Delivery, Obstetric / Q000379:methods*; D003906:Developing Countries; D005260:Female; D006801:Humans; D011247:Pregnancy; D013567:Symphysiotomy / Q000009:adverse effects / Q000379:methods*
keywords: Symphysiotomy; maternal mortality; obstructed labour; safe delivery; vacuum-assisted delivery; vaginal delivery