described above; inflammations follow, which may end only in a Caesarean operation that may cost the fetus its life. Even when a competent doctor is at hand, the directed delivery is not free of troubles, for it is more violent and more painful: a slight error in the quantity of the hormonal compound is enough to prolong the delivery and complicate it.
Often the fetus suffers, or is left with a permanent infirmity. For the injection of the hormonal compound that sets the delivery in motion cannot have the same effect as the slow changes carried out by nature in preparing the muscles and the organs surrounding the womb, each according to what is required of it — contraction or relaxation — to ease the passage of the fetus. In the "directed delivery" these muscles and organs remain rigid; they do not respond to the contractions of the womb, and they obstruct the fetus's descent, so that the outcome is either its deformation or the tearing of the mother's vessels, which in many cases suffer a severe hemorrhage.
As for the inflammations that accompany the directed delivery, they remain obscure. Perhaps the reason is that the hormonal compound injected to set it in motion at the same time stimulates the secretion of "cortisone," and it is medically known that the latter, if used by itself, lessens the body's power of defense against microbes and consequently causes inflammations.
When, then, may one resort to advancing the date of birth, which as we have seen is not free of violence and troubles? The obvious answer: in those cases where, by means of this operation, a greater danger can be avoided — as in eclampsia (the convulsions of pregnancy), or high blood pressure, or inflammation of the kidneys, or diabetes, or the bursting of the waters that protect the fetus, or after a severe hemorrhage. In such cases the doctor is bound to advance the date of delivery. One may also consider resorting to this operation when the mother
has previously delivered a stillborn child, or when the child exceeds the normal size, or when the mother has passed the normal term of pregnancy (290 days), or when she lives in a remote region — for it is more fitting that her delivery be advanced in the
presence of a doctor than that the birth take place at its natural time while she is in a remote region.
The importance of advancing the date of birth appears in the Rhésus factor — the factor of incompatibility between the mother's blood and the blood of
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