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Induction of Labour by Rupture of the Membranes
!)06
AMERICAN JOURNAl, OF OBS'l'ETHICS AND OYNECOI.OGY
Higgins, L. G.: Induction of Labour, Brit. M. J. 2:
7~1,
1!135.
The author presents clinical data indicating favorable results from simple rupture of the bag of waters for im1uction of labor. These views are supported by observations made by Fitzgibbon, Morton, Berger and Stroganoff on normal, post· mature, and eclamptic patients, respectively. The author believes this method of induction approximates closely to the normal onset of labor. It is suggested that there is no evidence that artificial rupture of the membranes under suitable conditions increases the tendency to pyrexia in the puerperium. Nor has any relation been established between r•yrexia and the length of time which elapses between artificial rupture of membranes and the onset of labor. No prejudicial e:fl:'ect upon the ~hil!l due to early rupture of the mem· 1Jnmes has ewr been ascertainc1l.
F. L.
ADAIR AND :-:\. A. l'EARL.
Blair, B. Murray: Induction of Labour by Rupture· of the M. A. J. 34: 49, 1936.
Membrane!'~,
t:an:t
'l'he author discusses inductions of labor in general anu points out the failures with medical routines. He outlines the actions of the various factors before labor can be precipitated as: ( 1) The presence of estrin in sufficient quantity to (a) sensitize the uterine fibers and (b) call forth enough infundibulin to cause con· tl'actions; (3) the absence of progestin, enough that the contractions be not in· hibited; (3) enough infundibulin must be brought into the circulation by estrin to promote labor contractions. It is pointed out that rupture of the membrane is a means of inducing labor; that "dry labor" is not the bugbear it was once considered; and that rupturing the membranes has a place in the treatment of eclampsia. He concludes that rupture of membranes is the surest procedure in inducing labor at full term; its dsks are not as great as they have been considered. How ever, he does not uphold rupture of the membranes as a routine method of in· duction. H. CLOSE HESSEI,TINE.
Fetal Asphyxia Due to Artificial Rupture of the Membrane in a Case With Membranous Insertion of the Cord, Rev. de gynee. e d 'obst. 29: 629, 1935.
Furtado, Affonso Henriques:
This report concerns a multipara, aged thirty-seven, who had been in labor for four hours. She was progressing normally, the fetus in cephalic position, the fetal heartbeats 140 per minute. After complete dilatation of the cervix, the membranes were ruptured artificially. Ten minutes later the patient delivered an apparently .dead baby which was, however, revived by artificial respiration. The placenta was delivered spontaneously forty minutes after the baby was born. On examination of the placenta it was found that the cord was attached to the membranes. F. L.
ADAIR AND
J.
SUAREZ.
Ganner, Philip J.: Results of Ante-Natal Administration of Quinine, Brit. :M. J. 2: 205, 1935. The use of quinine in the last weeks of pregnancy is revived. The idea is an old one, but the literature on the subject is scanty. Certain advantages are claimed for it by those who used it, and, therefore, it deserves further trial. The author reports a series of 50 normal primiparas who received 2 gr. of quinine bihydrochloriile t.i.d., from the thirty·sixth week o:f pregnancy onward. The results
AMERICAN JOURNAl, OF OBS'l'ETHICS AND OYNECOI.OGY
Higgins, L. G.: Induction of Labour, Brit. M. J. 2:
7~1,
1!135.
The author presents clinical data indicating favorable results from simple rupture of the bag of waters for im1uction of labor. These views are supported by observations made by Fitzgibbon, Morton, Berger and Stroganoff on normal, post· mature, and eclamptic patients, respectively. The author believes this method of induction approximates closely to the normal onset of labor. It is suggested that there is no evidence that artificial rupture of the membranes under suitable conditions increases the tendency to pyrexia in the puerperium. Nor has any relation been established between r•yrexia and the length of time which elapses between artificial rupture of membranes and the onset of labor. No prejudicial e:fl:'ect upon the ~hil!l due to early rupture of the mem· 1Jnmes has ewr been ascertainc1l.
F. L.
ADAIR AND :-:\. A. l'EARL.
Blair, B. Murray: Induction of Labour by Rupture· of the M. A. J. 34: 49, 1936.
Membrane!'~,
t:an:t
'l'he author discusses inductions of labor in general anu points out the failures with medical routines. He outlines the actions of the various factors before labor can be precipitated as: ( 1) The presence of estrin in sufficient quantity to (a) sensitize the uterine fibers and (b) call forth enough infundibulin to cause con· tl'actions; (3) the absence of progestin, enough that the contractions be not in· hibited; (3) enough infundibulin must be brought into the circulation by estrin to promote labor contractions. It is pointed out that rupture of the membrane is a means of inducing labor; that "dry labor" is not the bugbear it was once considered; and that rupturing the membranes has a place in the treatment of eclampsia. He concludes that rupture of membranes is the surest procedure in inducing labor at full term; its dsks are not as great as they have been considered. How ever, he does not uphold rupture of the membranes as a routine method of in· duction. H. CLOSE HESSEI,TINE.
Fetal Asphyxia Due to Artificial Rupture of the Membrane in a Case With Membranous Insertion of the Cord, Rev. de gynee. e d 'obst. 29: 629, 1935.
Furtado, Affonso Henriques:
This report concerns a multipara, aged thirty-seven, who had been in labor for four hours. She was progressing normally, the fetus in cephalic position, the fetal heartbeats 140 per minute. After complete dilatation of the cervix, the membranes were ruptured artificially. Ten minutes later the patient delivered an apparently .dead baby which was, however, revived by artificial respiration. The placenta was delivered spontaneously forty minutes after the baby was born. On examination of the placenta it was found that the cord was attached to the membranes. F. L.
ADAIR AND
J.
SUAREZ.
Ganner, Philip J.: Results of Ante-Natal Administration of Quinine, Brit. :M. J. 2: 205, 1935. The use of quinine in the last weeks of pregnancy is revived. The idea is an old one, but the literature on the subject is scanty. Certain advantages are claimed for it by those who used it, and, therefore, it deserves further trial. The author reports a series of 50 normal primiparas who received 2 gr. of quinine bihydrochloriile t.i.d., from the thirty·sixth week o:f pregnancy onward. The results