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Endocervical flora in pregnancy
SELECTED
818
Am. J. Obst. & Gynec.
ABSTRACTS
April,
1949
For enodcervicitis or ectocervicitix of the Grades I or II and cctoendoeervicitis of Grade I, a superficial conization will suffice. He terms this procedure preconization and xtresxex the avoidance of radical treatment because of the obvious complications; in other words, he permits distal drainage with minimal fibrous tissue change. For endocervicitix or ectocervicitis Grade III and ectoendocervicitis, Grades II or III, he advised excision of the cervix. Ten illustrations are included. CLAIR E. FOLSOME.
Laborit,
M. H.:
Uterine
Hemorrh&ges
and Atropine,
Gym%.
et
obxt.
46:
585-588,
1947.
The author, reasoning that the vasomotor function of the uterus is primarily under the vagal sympathetic dominance and that the cholinergic vasodilators and adrenergic vasoconstrictors influence uterine vessels, feels that there is no reason we should not attribute the same influence on innervation of uterine vessels to control of uterine muscle tonicity. He treated eight cases of functional uterine bleeding with subcutaneous atropine, 1.0 mg. per day for one to two days. In six of these cases he was able to bring about cessation of bleeding. He concludes that this drug should receive more study as a possible nonendocrine method to control functional bleeding. Douay in his discussion points out that Laborit has good reasoning that atropine is not without dangers and we should withhold conclusions pending further studies. CLAIR E:. FOISOME.
Netter,
Albert:
507,
July
A Study
Upon
the Cervico-Uterine
Temperature,
Presse
MEd.
56:
506
17, 1948.
The author had reported in a previous study (Annales d’Endocrinologie 8: 194-199, 1947) that there existed a definite difference between rectal and cervical temperatures. In normal women the cervical temperatures were found to average 0.5 to 0.7” C. higher than the rectal temperatures. The cervicouterine temperature showed variations in the course of the menstrual cycle. While more elevated t,han the basal rectal temperature patterns, the outline was similar in character except for a rise with subsequent fall of 0.3 to 0.5” C. at ovulation time followed by a secondary rise 0.3 to 0.4” C. It was observed, too, there wax an abrupt drop of 0.5 to 0.6” C. about two days before the onset of the next menstruation. In
menopausal
patients
the
author
notes
a consistently
lower
eervicouterine
temperature
as compared to rectal temperature, an average of 0.1 to 0.4” C. The author attributes the rise or fall of the cervicouterine temperature to estrogenic levels and carries out corollary observations of cervicouterine temperatures with vaginal smears. The administration of 2.0 to 5.0 mg. of diethylstilbestrol caused increased cervicouterine temperatures in eighteen of twenty cases so studied. He tion but method.
concludes that the that other multiple
Di Foneo, N. 0.: Aires
26:
cervical factors
Endocervicti
548-553,
Nov.
temperature, preclude
Flora
in
its
without complete
Pregnancy,
Bol.
doubt, is a text of estrogenic funcreliability as a single diagnostic CLAIRE E. FOLSOME. Sot.
de obst.
y ginec.
de Buenos
13, 1947.
Di Fonzo studied the flora in vagina,1 and endocervical mucus of sixty pregnant women. He describes elaborate precautions used in taking bacteridlogical specimens. The endocervix, habitually sterile, can harbor certain discrete microbiological flora without harm to the function of the mucous plug. The acidaphilic bacilli and enterococci were most frequently enThere was found no appreciable difference in countered in the vagina and the endocervix. The author concludes that his study stresses bacterial flora in the second or third trimesters. A full bacterial spectrum is not the need for sterile conditions attending intrapartum care. &UR E. F?LSOME. included.
818
Am. J. Obst. & Gynec.
ABSTRACTS
April,
1949
For enodcervicitis or ectocervicitix of the Grades I or II and cctoendoeervicitis of Grade I, a superficial conization will suffice. He terms this procedure preconization and xtresxex the avoidance of radical treatment because of the obvious complications; in other words, he permits distal drainage with minimal fibrous tissue change. For endocervicitix or ectocervicitis Grade III and ectoendocervicitis, Grades II or III, he advised excision of the cervix. Ten illustrations are included. CLAIR E. FOLSOME.
Laborit,
M. H.:
Uterine
Hemorrh&ges
and Atropine,
Gym%.
et
obxt.
46:
585-588,
1947.
The author, reasoning that the vasomotor function of the uterus is primarily under the vagal sympathetic dominance and that the cholinergic vasodilators and adrenergic vasoconstrictors influence uterine vessels, feels that there is no reason we should not attribute the same influence on innervation of uterine vessels to control of uterine muscle tonicity. He treated eight cases of functional uterine bleeding with subcutaneous atropine, 1.0 mg. per day for one to two days. In six of these cases he was able to bring about cessation of bleeding. He concludes that this drug should receive more study as a possible nonendocrine method to control functional bleeding. Douay in his discussion points out that Laborit has good reasoning that atropine is not without dangers and we should withhold conclusions pending further studies. CLAIR E:. FOISOME.
Netter,
Albert:
507,
July
A Study
Upon
the Cervico-Uterine
Temperature,
Presse
MEd.
56:
506
17, 1948.
The author had reported in a previous study (Annales d’Endocrinologie 8: 194-199, 1947) that there existed a definite difference between rectal and cervical temperatures. In normal women the cervical temperatures were found to average 0.5 to 0.7” C. higher than the rectal temperatures. The cervicouterine temperature showed variations in the course of the menstrual cycle. While more elevated t,han the basal rectal temperature patterns, the outline was similar in character except for a rise with subsequent fall of 0.3 to 0.5” C. at ovulation time followed by a secondary rise 0.3 to 0.4” C. It was observed, too, there wax an abrupt drop of 0.5 to 0.6” C. about two days before the onset of the next menstruation. In
menopausal
patients
the
author
notes
a consistently
lower
eervicouterine
temperature
as compared to rectal temperature, an average of 0.1 to 0.4” C. The author attributes the rise or fall of the cervicouterine temperature to estrogenic levels and carries out corollary observations of cervicouterine temperatures with vaginal smears. The administration of 2.0 to 5.0 mg. of diethylstilbestrol caused increased cervicouterine temperatures in eighteen of twenty cases so studied. He tion but method.
concludes that the that other multiple
Di Foneo, N. 0.: Aires
26:
cervical factors
Endocervicti
548-553,
Nov.
temperature, preclude
Flora
in
its
without complete
Pregnancy,
Bol.
doubt, is a text of estrogenic funcreliability as a single diagnostic CLAIRE E. FOLSOME. Sot.
de obst.
y ginec.
de Buenos
13, 1947.
Di Fonzo studied the flora in vagina,1 and endocervical mucus of sixty pregnant women. He describes elaborate precautions used in taking bacteridlogical specimens. The endocervix, habitually sterile, can harbor certain discrete microbiological flora without harm to the function of the mucous plug. The acidaphilic bacilli and enterococci were most frequently enThere was found no appreciable difference in countered in the vagina and the endocervix. The author concludes that his study stresses bacterial flora in the second or third trimesters. A full bacterial spectrum is not the need for sterile conditions attending intrapartum care. &UR E. F?LSOME. included.