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Blood picture during labor and its prognostic significance for the puerperium
Department
of Reviews and Abstracts CONDWTXD
BY
HITGO EIIRENFEST,
M.D.
Selected Abstracts Puerperium Holler, Th., and Umbricht, W.: The Alteration of the Blood Picture During and Its Prognostic Value for Puerperal Morbidity After Spontaneous birth, Zentralbl. 1. Gyn5,k. 64: lG& ISKI.
Labor Child-
The authors studied changes in the leucocytr count and its distribution in 630 normal deliveries. They found, rspe~~ially evident during prolonged labors, that there was a characteristic rise and fall of leucorytosis at; well as typic?al c.hanges in the proportions of the various types of white 1~~11s. From the amount of excess leucocytosis and partirularly from thr percentage of stat? cells, when over 25 per cent, the authors felt they were able to forecast with accuracy the onset of puerperal morbidity. R. J. \~EISSMAK.
Roller, Th., and Bietenhols, Ad.: Blood Picture nostic Significance for the Puerperium, Zent,ralbl.
During f. GgnIk.
Labor
and Its Prog-
64: 1763,
1940.
The authors compared the hematologic~ statistics of 795 spontaneous and 573 operative deliveries with referenc,e to the staff cell percentage during labor and its relat,ion to puerperal morbidity. They conclude that an increase over 25 per cent in staff cells, especially in association with fever, is prognostic of puerperal complications in over 50 per cent of cases. This increased staff cell eount, when taken into consideration with the factors of elevation of temperature, elapsed time since rupture of membranes and counted uterine contractions, is valuable in foreseeing infectious or thrombotic: complications. The authors also feel it nmp he a useful deciding factor when t,he question of resarean section c~omes up, as well as for The staff count is also increased in fetal death during vaginal operative delivery. No mention is made of the analgesia or anesthetics used nor of prolonged labor. Their conclusions are bared on I he study their possible effect upon the hemogram. of statistics covering twelve years.
The Incidence of Hemofytic StrepChesterman, John H., and Scandrett, Shirley: tococci in the Throats of Obstetric Nurses. Results of Treatment by Tonsillectomy and Sulfanilamide, M. J. Australia 2: 695, 1040. Over a period of two and one-half years the authors studied the occurrence of hemolytic streptococci in the throats of the nursing staff. This study was made to determine (1) the incidence of the organism in the throats of nurses resident in the hospital; (2) the effect of the presence or absence of tonsils; and (3) what methods if any will eradicate the infection. Their figures suggest that hemolytic streptot+ocri will invade a throat with tonsillar tissue more easily than one without, and that once they have become established it is more difficult to dislodge them from the throat in the presence of tonsillar tissue. 724
of Reviews and Abstracts CONDWTXD
BY
HITGO EIIRENFEST,
M.D.
Selected Abstracts Puerperium Holler, Th., and Umbricht, W.: The Alteration of the Blood Picture During and Its Prognostic Value for Puerperal Morbidity After Spontaneous birth, Zentralbl. 1. Gyn5,k. 64: lG& ISKI.
Labor Child-
The authors studied changes in the leucocytr count and its distribution in 630 normal deliveries. They found, rspe~~ially evident during prolonged labors, that there was a characteristic rise and fall of leucorytosis at; well as typic?al c.hanges in the proportions of the various types of white 1~~11s. From the amount of excess leucocytosis and partirularly from thr percentage of stat? cells, when over 25 per cent, the authors felt they were able to forecast with accuracy the onset of puerperal morbidity. R. J. \~EISSMAK.
Roller, Th., and Bietenhols, Ad.: Blood Picture nostic Significance for the Puerperium, Zent,ralbl.
During f. GgnIk.
Labor
and Its Prog-
64: 1763,
1940.
The authors compared the hematologic~ statistics of 795 spontaneous and 573 operative deliveries with referenc,e to the staff cell percentage during labor and its relat,ion to puerperal morbidity. They conclude that an increase over 25 per cent in staff cells, especially in association with fever, is prognostic of puerperal complications in over 50 per cent of cases. This increased staff cell eount, when taken into consideration with the factors of elevation of temperature, elapsed time since rupture of membranes and counted uterine contractions, is valuable in foreseeing infectious or thrombotic: complications. The authors also feel it nmp he a useful deciding factor when t,he question of resarean section c~omes up, as well as for The staff count is also increased in fetal death during vaginal operative delivery. No mention is made of the analgesia or anesthetics used nor of prolonged labor. Their conclusions are bared on I he study their possible effect upon the hemogram. of statistics covering twelve years.
The Incidence of Hemofytic StrepChesterman, John H., and Scandrett, Shirley: tococci in the Throats of Obstetric Nurses. Results of Treatment by Tonsillectomy and Sulfanilamide, M. J. Australia 2: 695, 1040. Over a period of two and one-half years the authors studied the occurrence of hemolytic streptococci in the throats of the nursing staff. This study was made to determine (1) the incidence of the organism in the throats of nurses resident in the hospital; (2) the effect of the presence or absence of tonsils; and (3) what methods if any will eradicate the infection. Their figures suggest that hemolytic streptot+ocri will invade a throat with tonsillar tissue more easily than one without, and that once they have become established it is more difficult to dislodge them from the throat in the presence of tonsillar tissue. 724