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Observations on artificially induced abortion
Reviews 1Abstracts Edited
by
LOUIS
M.
HELLMAN,
M.D.
Selected abstracts The Journal of Obrfefrics and Gynaecology of the British Commonwealth Vol. 71, No. 5, October, 1964. Hinde,
Magyar NSorvosok Lapja Vol. 27, No. 4, July, 1964.
F. C.: Cervical Biopsy in Pregnancy, p. 707. W. J. A.: The Development of Girls Deprived of Ovarian Function Before the Menarche, p. 773. J. C., Arora, M. M., Jungalwala, B. N., and Salgia, K. M.: Primary MeIanoma of the Vagina, p. 801.
Francis,
Gupta,
Vol. 71, No. 6, December,
1964.
J. C.: Lymphography in the Management of Pelvic Malignant Disease, p. 835. Wigglesworth, J. : Morphological Variations in the Insufficient Placenta, p. 871. Hobday, G. R., and Bland, K. G.: Hydatidiform Mole With Coexistent Viable Foetus, p. 965.
K. S., and Parikh, S. R.: Transverse Lie (A study of 37 cases), p. 858. Purushottam, B. : Advanced Primary Ovarian Pregnancy, p. 868. Purushottam, B.: Advanced Abdominal Pregnancy, p. 872.
*These
articles
have
been
p.
Observations on Artificially Abortion, p. 197.
Induced
procedure and extra-
cases. Delayed hemorrhage occurred in 0.84 prr cent of the cases. Sixty per cent of these occurred after the patient had left the hospital and required readmission. The cause was almost invariably retention of the products of conception. (There is no reference to hemorrhage during and immediately after operation.) Injury necessitated hysterectomy in 6 cases and small bowel resection in one. Infection was a postoperative complication in 1.26 per cent of cases. There was no mortality.
Lancef Vol. 1, No. 7377, Jan. 16, 1965. 0. D., and Holman, Thrombocytopenia,
Konstek:
In-
ovular introduction of hypertonic saline solution (through the cervical canal) in 2 per cent. The latter method was preferred when gestation had passed the first trimester. Before 1956, this method had to be chosen in 22.5 per cent. There were 21 cases of uterine perforation, caused by the sound in 8 cases, by the Hegar dilator in 8, by the curet in 3, and by the ovum forceps in 2
Parikh,
Fisher, Inherited
Artificially
these operations. Dilatation and curettage was the of choice in 98 per cent of all cases
The Journal of Obstetrics and Gynaecology of India Vol. 14, No. 4, December, 1964.
M.,
B. : Observations on duced Abortion, p. 197.
In 1953, a new law was introduced in Hungary that made artificially induced abortion freely available to any applicant. From that year until 1960, altogether 10,260 such operations were carried out in the author’s department in the main hospital of Hajdu-Bihar County. This paper discusses medical and social aspects of
Hartgill,
Ata,
*Kontsek,
C. A.: 119.
abstracted.
592
Selected abstracts
The proportion of artificially induced abortion as compared to term deliveries grew from 4.1:100 in 1953 to 147.3:100 in 1960. However, the total number of deliveries decreased by only 28.1 per cent in the area. This discrepancy was due to an abrupt increase of pregnancies after the new law had been introduced. During the years of this investigation, 3,492 more pregnant women were admitted to the department than during the name period of time previously. The proportion of unmarried women, widovvs, and divorcees was 5.16 per cent in this material. Most of these applied for the interruption of their first pregnancy, in contrast to married women, most of whom applied for abortion for the first time after they had given birth to 2 children. As for the alarming increase of pregnancies, the author concludes that the new law has made women disinterested in contraceptive measures and most of them rely, by now, on artificial abortion as the main, if not only, method of family planning. /Unlike contraceptive appliances, the costs of operation and hospital treatment in connection with artificial abortion are covered by the National Health Service scheme in Hungary.) L. Iffy
Miinchener Vol.
106, No.
“Prill,
Vol.
39, No.
*B:mnar,
Proceedings I?, December,
1964.
E. A., .Johnson, T. R., Onstad, G. R., Weed, L. A., and Say& G. P: Listeria Monocytogenes in Pregnancy: Report of Case, p. 919.
Banner,
Johnson, Onstad, Weed, and Sayre: Listeria Monocytogenes in Pregnancy: Report of Case, p. 919. Listeriosis in pregnancy is reviewed. In most of the reported cases the mother was asymptomatic prior to delivery, although occasionally a mild flulike illness has been reported prenatally. In most of the reported cases, fetal listeriosis began in the midtritnester resulting in spontaneous abortion. A patient with this entity, with subsequent intrauterine death and delivery of a macerated infant is described. It is beheved that earlier recognition and antibiotic therapy will save prenatal patients and newborn infants with this disease which can be fatal to both. Toby P’ol.
40, No.
Mcdawar,
1, January,
Frankel
1965.
P. B.: Do Advances in Medicine Lead to Genetic Deterioration?, p. 23.
49, Dec.
Wochenschrift 4: 1963.
H. J.: Menopause Symptoms, p. 2246.
and
Climacteric
Prill:
Menopause and Climacteric Symptoms, p. 2246. A group of 100 women, aged from 45 to 55, selected from the population of Lower Frankcmia, Germany, were investigated for the relation of so-called climacteric symptoms to the tnenopausc, to disease, and to stress. Intense climacteric disorders mainly occur in over-burdened housewives or those with additional strains. But organic and functional cardiovascular disease and arthritis are factors in causing tnore qcvrre difficulties.
New Vol.
England 271,
*Clifford,
Clifford:
Clinic
Mayo
Medizinische
593
July
Journal
of Medicine
30, 1964.
S. H.: High-Risk Pregnancy. I. Prevention of Prematurity the Sine Qua Non for Reduction in Mental Retardation and Other Xeurologic Disorders, p. 243.
High-Risk Pregnancy. I. Prevention of Prematurity the Sine Qua Non for Reduction in Mental Retardation and Other Neurologic Disorders, p. 2~3. The author presents statistical data regarding the neonatal mortality rates at the Boston Lying-in Hospital for the 21 year period from 19-l3 through 1963. During this time, there were 44,850 live births in the institution being ;>naIyzed. The neonatal mortality rate was 20 per 1,000 live-horn infants for the first 5 years, then fell to 14, where it remained stationary except for one year. The author concludes from his data that reduction in mental reardation and other neurological disorders will accompany reducrion in perinatal mortality. He suggests that perinatal mortality rates in specialized maternity hospitals may have reached the lowest point possible with the use of present methods. The separation of the relatively few high risk pregnancies from the mass of nortnal pregnancies for special and intensive stttdy and care, including hospitalization, may be the best method of significantly lowering perinatal mortality and morbidity bt~lo~ the present “frozen” level. The prevention of prematurity is perhaps the most important sitlglf* factor capable of reducing perinatal mortality.
by
LOUIS
M.
HELLMAN,
M.D.
Selected abstracts The Journal of Obrfefrics and Gynaecology of the British Commonwealth Vol. 71, No. 5, October, 1964. Hinde,
Magyar NSorvosok Lapja Vol. 27, No. 4, July, 1964.
F. C.: Cervical Biopsy in Pregnancy, p. 707. W. J. A.: The Development of Girls Deprived of Ovarian Function Before the Menarche, p. 773. J. C., Arora, M. M., Jungalwala, B. N., and Salgia, K. M.: Primary MeIanoma of the Vagina, p. 801.
Francis,
Gupta,
Vol. 71, No. 6, December,
1964.
J. C.: Lymphography in the Management of Pelvic Malignant Disease, p. 835. Wigglesworth, J. : Morphological Variations in the Insufficient Placenta, p. 871. Hobday, G. R., and Bland, K. G.: Hydatidiform Mole With Coexistent Viable Foetus, p. 965.
K. S., and Parikh, S. R.: Transverse Lie (A study of 37 cases), p. 858. Purushottam, B. : Advanced Primary Ovarian Pregnancy, p. 868. Purushottam, B.: Advanced Abdominal Pregnancy, p. 872.
*These
articles
have
been
p.
Observations on Artificially Abortion, p. 197.
Induced
procedure and extra-
cases. Delayed hemorrhage occurred in 0.84 prr cent of the cases. Sixty per cent of these occurred after the patient had left the hospital and required readmission. The cause was almost invariably retention of the products of conception. (There is no reference to hemorrhage during and immediately after operation.) Injury necessitated hysterectomy in 6 cases and small bowel resection in one. Infection was a postoperative complication in 1.26 per cent of cases. There was no mortality.
Lancef Vol. 1, No. 7377, Jan. 16, 1965. 0. D., and Holman, Thrombocytopenia,
Konstek:
In-
ovular introduction of hypertonic saline solution (through the cervical canal) in 2 per cent. The latter method was preferred when gestation had passed the first trimester. Before 1956, this method had to be chosen in 22.5 per cent. There were 21 cases of uterine perforation, caused by the sound in 8 cases, by the Hegar dilator in 8, by the curet in 3, and by the ovum forceps in 2
Parikh,
Fisher, Inherited
Artificially
these operations. Dilatation and curettage was the of choice in 98 per cent of all cases
The Journal of Obstetrics and Gynaecology of India Vol. 14, No. 4, December, 1964.
M.,
B. : Observations on duced Abortion, p. 197.
In 1953, a new law was introduced in Hungary that made artificially induced abortion freely available to any applicant. From that year until 1960, altogether 10,260 such operations were carried out in the author’s department in the main hospital of Hajdu-Bihar County. This paper discusses medical and social aspects of
Hartgill,
Ata,
*Kontsek,
C. A.: 119.
abstracted.
592
Selected abstracts
The proportion of artificially induced abortion as compared to term deliveries grew from 4.1:100 in 1953 to 147.3:100 in 1960. However, the total number of deliveries decreased by only 28.1 per cent in the area. This discrepancy was due to an abrupt increase of pregnancies after the new law had been introduced. During the years of this investigation, 3,492 more pregnant women were admitted to the department than during the name period of time previously. The proportion of unmarried women, widovvs, and divorcees was 5.16 per cent in this material. Most of these applied for the interruption of their first pregnancy, in contrast to married women, most of whom applied for abortion for the first time after they had given birth to 2 children. As for the alarming increase of pregnancies, the author concludes that the new law has made women disinterested in contraceptive measures and most of them rely, by now, on artificial abortion as the main, if not only, method of family planning. /Unlike contraceptive appliances, the costs of operation and hospital treatment in connection with artificial abortion are covered by the National Health Service scheme in Hungary.) L. Iffy
Miinchener Vol.
106, No.
“Prill,
Vol.
39, No.
*B:mnar,
Proceedings I?, December,
1964.
E. A., .Johnson, T. R., Onstad, G. R., Weed, L. A., and Say& G. P: Listeria Monocytogenes in Pregnancy: Report of Case, p. 919.
Banner,
Johnson, Onstad, Weed, and Sayre: Listeria Monocytogenes in Pregnancy: Report of Case, p. 919. Listeriosis in pregnancy is reviewed. In most of the reported cases the mother was asymptomatic prior to delivery, although occasionally a mild flulike illness has been reported prenatally. In most of the reported cases, fetal listeriosis began in the midtritnester resulting in spontaneous abortion. A patient with this entity, with subsequent intrauterine death and delivery of a macerated infant is described. It is beheved that earlier recognition and antibiotic therapy will save prenatal patients and newborn infants with this disease which can be fatal to both. Toby P’ol.
40, No.
Mcdawar,
1, January,
Frankel
1965.
P. B.: Do Advances in Medicine Lead to Genetic Deterioration?, p. 23.
49, Dec.
Wochenschrift 4: 1963.
H. J.: Menopause Symptoms, p. 2246.
and
Climacteric
Prill:
Menopause and Climacteric Symptoms, p. 2246. A group of 100 women, aged from 45 to 55, selected from the population of Lower Frankcmia, Germany, were investigated for the relation of so-called climacteric symptoms to the tnenopausc, to disease, and to stress. Intense climacteric disorders mainly occur in over-burdened housewives or those with additional strains. But organic and functional cardiovascular disease and arthritis are factors in causing tnore qcvrre difficulties.
New Vol.
England 271,
*Clifford,
Clifford:
Clinic
Mayo
Medizinische
593
July
Journal
of Medicine
30, 1964.
S. H.: High-Risk Pregnancy. I. Prevention of Prematurity the Sine Qua Non for Reduction in Mental Retardation and Other Xeurologic Disorders, p. 243.
High-Risk Pregnancy. I. Prevention of Prematurity the Sine Qua Non for Reduction in Mental Retardation and Other Neurologic Disorders, p. 2~3. The author presents statistical data regarding the neonatal mortality rates at the Boston Lying-in Hospital for the 21 year period from 19-l3 through 1963. During this time, there were 44,850 live births in the institution being ;>naIyzed. The neonatal mortality rate was 20 per 1,000 live-horn infants for the first 5 years, then fell to 14, where it remained stationary except for one year. The author concludes from his data that reduction in mental reardation and other neurological disorders will accompany reducrion in perinatal mortality. He suggests that perinatal mortality rates in specialized maternity hospitals may have reached the lowest point possible with the use of present methods. The separation of the relatively few high risk pregnancies from the mass of nortnal pregnancies for special and intensive stttdy and care, including hospitalization, may be the best method of significantly lowering perinatal mortality and morbidity bt~lo~ the present “frozen” level. The prevention of prematurity is perhaps the most important sitlglf* factor capable of reducing perinatal mortality.