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Abortion and decrease in births
REVIEWS riod, we must used to produce the ovum from death. Peller,
S.:
.4ND
477
ABSTRACTS
think of air embolism. In some instances, the abortion may remain in the uterus and the uterine wall will it be sucked into the
Abortion
and
Decrease
in
Births.
Med.
the air-containing fluid only after separation of circulation and produce J. P. GREENHILL.
Klin.
27:
847,
1931.
At the present time, according to Peller, there are probably one million or more abortions annually in Germany. In Vienna the frequency of repeated abort.ions has increased since the war. This is also true in Moscow and Leningrad. It has been found that abortions are more rommon in cities than in the country. In large, cities approximately 50 per cent of all pregnancies end in abortion but this does not mean that all the abortions are induced. In large cities, a high proportion of the births are regulated by preventative measures but this is not as true in the country. The older the women the more they tend to restrict conception in the cities but this is not, On the other hand, abortions after forty years of age are much true in the country. less common in cities than in the country. In the small cities births are controlled more by abortion than by preventativcxs whereas the reverse obtains for the large cities. Illiterate women more frequently resort to abortions than literate ones. Likewisr The legalization of abor. the Jewesses of Russia seldom have abortions performed. tions in Russia has led to a reduction in mortality and frequency of complications usually associated with these operations. J. P. GREENHILL. Harbitz, H. the Oslo Scandinav.
F.: Etiological and Municipal Hospital 11: 50, 1931.
Clinical Investigation Between 1920-1929.
of
Abortions Acta obst.
Treated in et gynec.
Of 3791 cases of abortion treated in the Oslo Municipal Hospital more than half were febrile. The majority were most likely criminal in origin. The total death rate was 2.16 per cent. Among the 129 women who had complications on admission to the hospital the mortality was 34.1 per cent whereas among the 3,662 without complications it was only 1 per cent. In the febrile cases the death rate was ten times as high as among the afebrile cases. The treatment of the uncomplicated eases was both expectant and active. Of the febrile cases, 60 per cent were treated actively, 29 per cent expectantly and 11 per cent conservatively. The mortality was a trifle lower in those not treated actively. The most frequent cause of death was purulent peritonitis. Clinical thrombosis and embolism occurred in 0.77 per cent of the cases. J. P. GRESNHILL. Bronnikowa:
Labor
After
Artificial
Abortion.
Zentralbl.
f. GynLk.
53:
292,
1929.
From the State University of Moscow 1470 cases of labor occurring after previous abortions are analyzed with the following results: In general, pathologic labors occurred more than two times as frequently a in control cases without previous abortion (13.8 per cent and 6.8 per cent respectively). During labor, and immediately following, atonic bleeding was nearly 2 times as frequent, adherent placenta 3 times, weak labor pains 4 times, Crede expression of placenta, manual removal, etc., nearly 3 times, and forceps were used 8 times as frequently as in a similar series of cases which had not undergone previous abortion. Puerperal complications (endometritis and lochiometra prevailing) were nearly 2 times as frequent. The average size of the baby was slightly but definitely lower in those cases with previous abortions, but the placental weight was definitely greater, seeming to show, as the author expresses it, “an expression of the struggle for existence of the fetus.” WILLIAM F. ME,NGERT.
S.:
.4ND
477
ABSTRACTS
think of air embolism. In some instances, the abortion may remain in the uterus and the uterine wall will it be sucked into the
Abortion
and
Decrease
in
Births.
Med.
the air-containing fluid only after separation of circulation and produce J. P. GREENHILL.
Klin.
27:
847,
1931.
At the present time, according to Peller, there are probably one million or more abortions annually in Germany. In Vienna the frequency of repeated abort.ions has increased since the war. This is also true in Moscow and Leningrad. It has been found that abortions are more rommon in cities than in the country. In large, cities approximately 50 per cent of all pregnancies end in abortion but this does not mean that all the abortions are induced. In large cities, a high proportion of the births are regulated by preventative measures but this is not as true in the country. The older the women the more they tend to restrict conception in the cities but this is not, On the other hand, abortions after forty years of age are much true in the country. less common in cities than in the country. In the small cities births are controlled more by abortion than by preventativcxs whereas the reverse obtains for the large cities. Illiterate women more frequently resort to abortions than literate ones. Likewisr The legalization of abor. the Jewesses of Russia seldom have abortions performed. tions in Russia has led to a reduction in mortality and frequency of complications usually associated with these operations. J. P. GREENHILL. Harbitz, H. the Oslo Scandinav.
F.: Etiological and Municipal Hospital 11: 50, 1931.
Clinical Investigation Between 1920-1929.
of
Abortions Acta obst.
Treated in et gynec.
Of 3791 cases of abortion treated in the Oslo Municipal Hospital more than half were febrile. The majority were most likely criminal in origin. The total death rate was 2.16 per cent. Among the 129 women who had complications on admission to the hospital the mortality was 34.1 per cent whereas among the 3,662 without complications it was only 1 per cent. In the febrile cases the death rate was ten times as high as among the afebrile cases. The treatment of the uncomplicated eases was both expectant and active. Of the febrile cases, 60 per cent were treated actively, 29 per cent expectantly and 11 per cent conservatively. The mortality was a trifle lower in those not treated actively. The most frequent cause of death was purulent peritonitis. Clinical thrombosis and embolism occurred in 0.77 per cent of the cases. J. P. GRESNHILL. Bronnikowa:
Labor
After
Artificial
Abortion.
Zentralbl.
f. GynLk.
53:
292,
1929.
From the State University of Moscow 1470 cases of labor occurring after previous abortions are analyzed with the following results: In general, pathologic labors occurred more than two times as frequently a in control cases without previous abortion (13.8 per cent and 6.8 per cent respectively). During labor, and immediately following, atonic bleeding was nearly 2 times as frequent, adherent placenta 3 times, weak labor pains 4 times, Crede expression of placenta, manual removal, etc., nearly 3 times, and forceps were used 8 times as frequently as in a similar series of cases which had not undergone previous abortion. Puerperal complications (endometritis and lochiometra prevailing) were nearly 2 times as frequent. The average size of the baby was slightly but definitely lower in those cases with previous abortions, but the placental weight was definitely greater, seeming to show, as the author expresses it, “an expression of the struggle for existence of the fetus.” WILLIAM F. ME,NGERT.