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Appendicitis complicating pregnancy and labor
552
AMERICAN
JOURNAL
The greatest number of the chances of recovery are In addition to pregnancy. of other factors were found of the psychosis.
OF
OBSTETRICS
AND
GYNECOLOGY
mental derangements occurred in primiparas. In these more favorable than when present in the second or third the childbearing as a cause of the breakdown, a number present which appeared to play a part in the development E'. I,. ADAIR
Wong, Amos:
A Case of Insomnia
Insomnia in pregnancy sleep to one to two hours a rarity.
in Pregnancy,
Chinese
‘~ZND 8. A. Pmux,.
X.
J. 49:
is a very common condition. When it reduces every night for a period of six to seven months,
11.46,
1935.
a woman’s it becomes
The common causes of insomnia, such as faulty habits of hygiene, acute and chronic disorders, were not present in this particular case. As to the cause of her insomnia, it was the author’s impression that it was of psychic origin. The patient was not suffering physically from insomnia as indicated by the steady gain in weight She came through the pregnancy and labor and the satisfactory growth of the fetus. in good condition. c. 0. ;MAMKD.
Raimann, E.: Therapeutic Interruption of Pregnancy Diseases, Wien. klin. Wchnschr. 50: 166, 1937.
in Nervous
and Mental
Because of the legal difficulties involved, and because there is no single disease for which interruption of pregnancy may be recommended without reserve, the disease and the patient as well as the social status and economic circumstances must all be Of the diseases considered, viz.: Basedow’s disease, status taken into account. epilepticus, tabes, multiple sclerosis, and the psychoses schizophrenia, melancholia, and such a neurologic lesion as inoperable brain tumor, other factors such as duration of pregnancy and the ultimate effect on mother and child must also be considered. The psychiatrist and the gynecologist must work together. In many cases under combined management the patient may carry her pregnancy to term with appropriate mental treatment. All cases are treated on their relative merits and the dangers in each case should be carefully evaluated. IV. B. F%BIN.
Silva, Camillo : Acute Appendicitis Ann.
di ostet.
e. ginec.
15:
14T5,
Complicating
Pregnancy
and the Puerperium,
1936.
The author reports 27 cases of acute appendicitis during pregnancy and the puerperium and emphasizes the high mortality and difficulty of differential diagnosis. He states that pregnancy was interrupted in 36 per cent of the cases and the fetal mortality was 24 per cent. The elusively
author claims that the therapy in acute appendicitis during surgical and occasionally cesarean section is necessary.
pregnancy
is ex-
A. DAI~O.
Norton, James I?., and Connell, John N.: and Labor, Am. J. Surg. 32: 325, 1936.
Appendicitis
Complicating
Pregnancy
Acute appendicitis with peritonitis complicating labor, should be managed surgically as it is at any other time, and the labor allowed to continue with delivery through the birth canal, in the absence of an indication requiring a different obstetric procedure. J. THORNWELL WYITHERSPOON.
AMERICAN
JOURNAL
The greatest number of the chances of recovery are In addition to pregnancy. of other factors were found of the psychosis.
OF
OBSTETRICS
AND
GYNECOLOGY
mental derangements occurred in primiparas. In these more favorable than when present in the second or third the childbearing as a cause of the breakdown, a number present which appeared to play a part in the development E'. I,. ADAIR
Wong, Amos:
A Case of Insomnia
Insomnia in pregnancy sleep to one to two hours a rarity.
in Pregnancy,
Chinese
‘~ZND 8. A. Pmux,.
X.
J. 49:
is a very common condition. When it reduces every night for a period of six to seven months,
11.46,
1935.
a woman’s it becomes
The common causes of insomnia, such as faulty habits of hygiene, acute and chronic disorders, were not present in this particular case. As to the cause of her insomnia, it was the author’s impression that it was of psychic origin. The patient was not suffering physically from insomnia as indicated by the steady gain in weight She came through the pregnancy and labor and the satisfactory growth of the fetus. in good condition. c. 0. ;MAMKD.
Raimann, E.: Therapeutic Interruption of Pregnancy Diseases, Wien. klin. Wchnschr. 50: 166, 1937.
in Nervous
and Mental
Because of the legal difficulties involved, and because there is no single disease for which interruption of pregnancy may be recommended without reserve, the disease and the patient as well as the social status and economic circumstances must all be Of the diseases considered, viz.: Basedow’s disease, status taken into account. epilepticus, tabes, multiple sclerosis, and the psychoses schizophrenia, melancholia, and such a neurologic lesion as inoperable brain tumor, other factors such as duration of pregnancy and the ultimate effect on mother and child must also be considered. The psychiatrist and the gynecologist must work together. In many cases under combined management the patient may carry her pregnancy to term with appropriate mental treatment. All cases are treated on their relative merits and the dangers in each case should be carefully evaluated. IV. B. F%BIN.
Silva, Camillo : Acute Appendicitis Ann.
di ostet.
e. ginec.
15:
14T5,
Complicating
Pregnancy
and the Puerperium,
1936.
The author reports 27 cases of acute appendicitis during pregnancy and the puerperium and emphasizes the high mortality and difficulty of differential diagnosis. He states that pregnancy was interrupted in 36 per cent of the cases and the fetal mortality was 24 per cent. The elusively
author claims that the therapy in acute appendicitis during surgical and occasionally cesarean section is necessary.
pregnancy
is ex-
A. DAI~O.
Norton, James I?., and Connell, John N.: and Labor, Am. J. Surg. 32: 325, 1936.
Appendicitis
Complicating
Pregnancy
Acute appendicitis with peritonitis complicating labor, should be managed surgically as it is at any other time, and the labor allowed to continue with delivery through the birth canal, in the absence of an indication requiring a different obstetric procedure. J. THORNWELL WYITHERSPOON.