It is thought to be
the first known case of a self-inflicted Caesarean in which both the mother and
baby survived.
The unidentified
40-year-old, lived in a rural area of Mexico without electricity or running
water, and eight hours from the nearest hospital.
The International
Journal of Gynaecology and Obstetrics reported the case.
The woman performed
the operation when
she could not deliver the baby naturally, having lost a
previous baby due to labour complications.
Dr R Valle, of the
Dr Manuel Velasco Suarez Hospital in San Pablo, Mexico, said: “She took three
small glasses of hard liquor and, using a kitchen knife, sliced her abdomen in
three attempts and delivered a male infant that breathed immediately and cried.”
Before losing
consciousness, the woman told one of her children to call a local nurse for
help.
After the nurse
stitched the wound with a sewing needle and cotton thread, the mother and baby
were transferred and treated by Dr Valle and his colleagues at the nearest
hospital.
“This case
represents an unusual and extraordinary decision by a woman in labour who,
unable to deliver herself spontaneously, and with no medical help or resources,
decided to perform a caesarean section upon herself,” he said.
He added that a
mother’s instinct to save her child can move a woman to perform extraordinary
acts but said it would not have been necessary if adequate medical care had
been available.
Professor James
Walker, professor of obstetrics and gynaecology at St James’s University
Hospital, Leeds, said he had heard of cases in the past where farmers had
performed Caesareans on their wives after having previously carried out the
operation on animals.
But he said it would
not happen now. “In this country, there is virtually never a situation when an
individual is totally isolated from medical care even in the most outlying
areas.”
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