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Disinfection of the vulva as prophylaxis against puerperal infection
ABSTRACTS
745
previous failure, bacterial endocarditis, and general systemic disease may play a part in prognosis. Even when all factors are considered, the prediction of the course which the disease will take in pregnancy requires decisions in an ill-charted field of medicine. The author discusses each of the anatomical cardiac defects in relation to functional capacity and quotes his own plus the experience of others in their management. That a wide divergence of opinion exists among the best authorities in the management of the pregnant cardiac is apparent. WILLIAM BICKERS.
Puerperium Pereira, Joao Mario da 5.: Incidence of Puerperal Deliveries, An. brasil. de ginec. ‘7: 271-253, 1942.
Infection
Among
1,000
The author reports the excellent results obtained after adoption of prophylactic methods at the Maternity Hospital “Arthur Bernardes” under the direction of Professor Clovis Correa da Costa. The factors operative in reducing the puerperal morbidity to a minimum are: frequent vaginal examinations are avoided; on admission, the patient undergoes a thorough vulvar “toilet “; the instruments are thoroughly sterilized; vaginal instillations of 2 per cent mercurochrome solution are made every four hours. In retention of cotyledons and large fragments of membranes, manual evacuation is done followed by washing of the uterine cavity with boiled water. Sulfonamide compounds and estrogens are used in cases of repeated handling and manipulations within the genital canal. In the author’s opinion, this combined treatment const.itutes the best means of combating puerperal endometritis. Sulfanilamide in powder form is applied to the uterine cavity in some cases of infection; in others Mouchotte’e method of drainage is employed. With these prophylactic measures, the puerperal morbidity among 1,000 deliveries was 4.2 per cent, These was no mortality. J. P. GREENHILL.
Disinfection
Duek, II.: An. bra&l
de ginee.
of the Vulva as Prophylaxis 8: 268277,
Against
Puerperal
Infection,
1943.
The author employed a number of substances to disinfect the vulva during He found that the best substance for labor and checked his results by cultures. this purpose was 2 per cent mercurochrome. He claims that by the use of vulvar antisepsis, the incidence of puerperal sepsis was reduced in his Rio de Janeiro Clinic from 6.G per cent to 1 per cent. He also discusses and compares the statistics concerning puerperal sepsis published from other countries. J. P. GREENHILL.
Venereal Diseases Ahumada, J. C., Gandolfo Herrera, R., and Sammartino, R.: matosis (Paltauf-Sternberg) of the Hypogastric Glands, Bol. ginec.
de Buenos
Aires
22:
355361,
Lymphogranulosot.
de obst.
y.
1943.
The authors report a case in a woman, aged 34, whose symptoms of pain and tumor developed after an appendectomy performed when she was four months pregnant. Following the appendectomy an incomplete abortion occurred, necessitating two curettements. At operation, a tumor was found in the right parametrial region, filling and distending the broad ligament. The-growth was hard, lobulated,
745
previous failure, bacterial endocarditis, and general systemic disease may play a part in prognosis. Even when all factors are considered, the prediction of the course which the disease will take in pregnancy requires decisions in an ill-charted field of medicine. The author discusses each of the anatomical cardiac defects in relation to functional capacity and quotes his own plus the experience of others in their management. That a wide divergence of opinion exists among the best authorities in the management of the pregnant cardiac is apparent. WILLIAM BICKERS.
Puerperium Pereira, Joao Mario da 5.: Incidence of Puerperal Deliveries, An. brasil. de ginec. ‘7: 271-253, 1942.
Infection
Among
1,000
The author reports the excellent results obtained after adoption of prophylactic methods at the Maternity Hospital “Arthur Bernardes” under the direction of Professor Clovis Correa da Costa. The factors operative in reducing the puerperal morbidity to a minimum are: frequent vaginal examinations are avoided; on admission, the patient undergoes a thorough vulvar “toilet “; the instruments are thoroughly sterilized; vaginal instillations of 2 per cent mercurochrome solution are made every four hours. In retention of cotyledons and large fragments of membranes, manual evacuation is done followed by washing of the uterine cavity with boiled water. Sulfonamide compounds and estrogens are used in cases of repeated handling and manipulations within the genital canal. In the author’s opinion, this combined treatment const.itutes the best means of combating puerperal endometritis. Sulfanilamide in powder form is applied to the uterine cavity in some cases of infection; in others Mouchotte’e method of drainage is employed. With these prophylactic measures, the puerperal morbidity among 1,000 deliveries was 4.2 per cent, These was no mortality. J. P. GREENHILL.
Disinfection
Duek, II.: An. bra&l
de ginee.
of the Vulva as Prophylaxis 8: 268277,
Against
Puerperal
Infection,
1943.
The author employed a number of substances to disinfect the vulva during He found that the best substance for labor and checked his results by cultures. this purpose was 2 per cent mercurochrome. He claims that by the use of vulvar antisepsis, the incidence of puerperal sepsis was reduced in his Rio de Janeiro Clinic from 6.G per cent to 1 per cent. He also discusses and compares the statistics concerning puerperal sepsis published from other countries. J. P. GREENHILL.
Venereal Diseases Ahumada, J. C., Gandolfo Herrera, R., and Sammartino, R.: matosis (Paltauf-Sternberg) of the Hypogastric Glands, Bol. ginec.
de Buenos
Aires
22:
355361,
Lymphogranulosot.
de obst.
y.
1943.
The authors report a case in a woman, aged 34, whose symptoms of pain and tumor developed after an appendectomy performed when she was four months pregnant. Following the appendectomy an incomplete abortion occurred, necessitating two curettements. At operation, a tumor was found in the right parametrial region, filling and distending the broad ligament. The-growth was hard, lobulated,