The continued demxnd for this exwllent tcxthook. Gyn~fcnlogy led to a revised edition. (‘onspiwous in the present make-up arc’ the ronstitutiou and its rcflvs influenw on the pelvic organs, and discussion of the cmdocrin
for AJ~crsc-s.7 has a new section on a xcll-halnuccd the illustrations, thcl rvrlcome :IC F.
Wil1iam.s
Philipp and Rchgfer ‘s monograph, Mflal~t~w~ z~d Rwidiw im K~nnehet~ beim GnitnEcaro~nnoln dw P’rn@ represents R careful study of the bone metastases and recurrences noted following genital cancer in the female. A distinct difference is found in the situation of -the recurrences of eases treated bg the Werthcim and Sehauta technic as we11 as thaw taking plwt, in tumors trea.ted i)p radiothernpp. The monograph is illustrated lty numerous ~xrellcnt x-rap plates. --R. I’. Frml,,
Obstetrics To sustxin the present quivkencd intrrest in the topic of maternal welfaw Kerr offers in this new monograph, Mu,lcmal _Worta,lCty and .Morbidtty,~ :I wealth of valuable material dealing with every angle of the problem. In the introduction Kerr describes shortly the situation in Crrwi Britain with pertinent suggestions as to the unification and coordination of thv wrviws, which he lwlirvrs will help to solve the problem. The book is divided into four parts, &uses, Prevention, Rervicos: and Organization. 0C:yn6eologie Operatoirr. By Henri Hartmann. I>euxi&me &lition entierement refondue. Masson et Cie, Paris, 1933. ‘Gynecology for Nurses. By George Gellhorn, M.D., F.A.C.S.. Professor of Clinical Obstetrics and Gynecology, Washington University School of Medicine ; Gynecologist. Barnard Free Skin and Cancw Hospital; Associate Gynecologist and Obstetrician. Barnes and St. Louis Maternity Hospitals; Consulting Gynecologist and Obstetrician, Jewish and St. Louis County Hospitals Second Edition, Revised and Enlarged. W. B. Saunders Company, Philadelphia. London, 1933. 8Metestssen und Rexidivr im Wnoc¶mn b&n Genitslearoinom der Frau. Van Dozent Dr. E. Philipp and Dr. G. Schgfer, Universitaets-Frauenklinik Rrrlin. mt 3’; .lhbildungen. Verlag van Julius Springer. B’erlin, 1933. OMsternal Mortality and Morbidity. A Study of Their Problems. BY J. M. Munro .Kerr. M.D., I?-R.F.P.S. (G&&s.). F.C.O.G. Regius Professor of Midwifery, University of Glasgow; Obstetric Surgeon, Glasgow Royal Maternfty axed Women’s Hospital; Hon. Fellow Royal Society of Medicine in Ireland: Hon. Fellow American Gynaecological Society, etc. William Wood & Company, Baltimore, 1933.
Dr. M’Kinlay reviews the conditions affecting puerperal mortality and assesses the various factors, social and medical, which may influence the mortality rate. A tabulated study shows the inefficiency of comparative statistics even in such a small area as the British Isles. The influence of operative procedures, forceps, ccsarean and abortion on the mortality rate is clearly shown. The chapter by Dr. M’Intyre on maternal morbidity and subsequent disablement reveals that only the surface has been scratched so far in a consideration of this problem, fully as important as mortality. When we can answer the question proposed, “What has it cost the mother in health to produce the family she has when in obstetric practice. that family is complete 1’ ’ we will be able to assess our results Pyre& in the puerperium is no real measure of maternal morbidity. Part two, (‘Prevention,” deals with antenatal care as we are beginning to realize it and with intranatal care, or management of labor, which is undoubtedly the crux of the whole problem of mortality so far as the three largest causes of death in maternity are concerned. in various WLL~S with the home and bosPart three, “ Services, ” deals at length pita1 practice of obstetrics, in which certain advantages of home or domiciliary obstetrics are stressed. The author’s rather revolut.ionary ideas on construction of maternity hospitals and hospital staff problems are fully presented. The midwife situation in England is discussed. Her training, supervision and importance in English obstetrics is perhaps underestimated in this country. The chapter on obstetric education of the physician forms no less a demand for the ideal curriculum than our own teachers have long demanded. Under organization of a rmtional maternity service the author touches upon another subject with which we are little familiar, although with our rapid sociopolitical changes the health insurance idea may be in prartice before we realize it. The appendices deal with research problems, the nrcds of the general practitioner and graduate education, district nursing and health insurance. This is a notable It deals voluminously, statistically and critically with all aspects of contribution. the problem and should be read by anyone concrrnrd with any phase of maternal welfarr. -Phili~p F. 7Villimt.v In this small volume Cleisz presents a concise survey of prevailing views concerning etiology, diagnosis, and Treatment of Pye1owphriti.s Dwing Pregnawy.10 In regard to conservative therapy it is interesting to note that he seemingly thinks ” by means of injections of colloid metals, peptone, milk, well of “shock therapy blood, or aseptic pus. Be also discusses serotherapy and bacteriophagy. His ate titude is conservative in regard to the necessity of interrupting pregnancy. -H%go
Ehren
f est
Zwinohen Xutter md Fmcht,l1 Schlossmann’s monograph, b’tofftrustmsoh contains a number of studies performed on dogs and goats, as well as a fair review of the literature concerning the mechanism by which normal and abnormal constituents reach and leave the fetus by means of the placenta. He denies any vital function ascribable to the chorion epithelium and bases all exchange upon purely physical phenomena. -R. T. Frank ‘%a
Doin
PyBlon6phrit.e
& Cie,
1X3toffaustausch
Schlossmann, 19.33.
Grsvidique
ecliteurs,
Paris. Zwischen
Duesseldorf.
et
1933. Mutter
Mit
son und
8 Abbildun.%n.
Par
Trsitment. Frurht
Durch
Verlag
Louis die
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Cl&z, Placenta.
J. F. Bergmann.
Paris. By
Gaston Von Muenchen,
H.