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Our abdominal belt for the second stage of labor
ABSTRACTS
733
With these pressures and an additional 45 mm. from secondary expulsive forces, a total average of 105 mm. of mercury pressure is transmitted to the fetus during parturition. H. CLOSE HESSELTINE.
Leon, J., and Ferrari, R. A.: Our Abdominal Belt for the Second Stage of Labor, Bull. Soc. d 'obst. et de gynec. 25: 417, 1936. The authors are of the opinion that their abdominal belt decreases the duration of labor not only among multiparas but among primiparas as well. It does this without increase in the frequency of perineal lacerations. The use of this belt reduces the necessity for the use of pi tuitrin during the second stage of labor. It also reduces the frequency of Kristeller expression and the use of forceps. In the extraction of babies by the breech the belt prevents deflection of the head and dislocation of the arms. After symphysiotomy the belt permits spontaneous delivery without the u~e of oxytoeics. .T. P. GREENHILL. Ehrhardt, K., and Henss, E.: The Artificial Induction of Labor in Postmature Pregnancy, Med. Klin. 32: liOO, 1936. The authors used castor oil, quinine, and pituitary extract to induce labor in 322 cases of overterm pregnancy and were successful in 80 per cent. Multiparas reacted more favorably than primiparas. In the primiparas where labor was successfully induced, the duration of the labor was shorter than normal. The best results were obtained in women who had gone one or two weeks past term. There was no apparent increase of forceps deliveries or uterine atony after artificial induction of labor. The authors point out that by these means it is easy to bring about expulsion of a dead baby or a hydatidiform mole. .T. P. GREENHILL. Reiles, M.: Artificial Induction of Labor, Rev. fran<;. de gynec. et d'obst. 31: 335, 1936. The author employed the Stein method in 86 cases. The chief indication was premature rupture of the membranes which occurred in 77 cases. The method proved successful in 71 cases or 82.5 per cent. In four of these cases two and in 3 cases three attempts were made before success was accomplished. In 62 of the 7l successful cases, delivery was spontaneous. '!'he average duration of labor after induction was eight hours and forty-eight minutes for primiparas and four hours for multiparas. No child was lost because of the induction of labor. The total morbidity for the series was 18.6 per cent. ..r. P. GREE~HILL. Movers, F.: Medical Induction of Labor, Monatschr. f. Geburtsh. u. Gynak. 104: 184, 1937. Labor was induced medically in 213 women who were at or beyond term. In 40.7 per cent of the cases labor was terminated within twenty-four hours. However, if the cases of repeated induction are excluded, the incidence of success was only 35.1 per cent. The combination of quinine with pituitary extract was more successful than quinine, calcium, and pituitary extract. However, quinine and calcium gave better results than quinine alone. Among the successful cases, labor was terminated by operative means in 19.6 per cent. The author's method of inducing labor is a modification of Stein's procedure. J. P. GREENHILL,
733
With these pressures and an additional 45 mm. from secondary expulsive forces, a total average of 105 mm. of mercury pressure is transmitted to the fetus during parturition. H. CLOSE HESSELTINE.
Leon, J., and Ferrari, R. A.: Our Abdominal Belt for the Second Stage of Labor, Bull. Soc. d 'obst. et de gynec. 25: 417, 1936. The authors are of the opinion that their abdominal belt decreases the duration of labor not only among multiparas but among primiparas as well. It does this without increase in the frequency of perineal lacerations. The use of this belt reduces the necessity for the use of pi tuitrin during the second stage of labor. It also reduces the frequency of Kristeller expression and the use of forceps. In the extraction of babies by the breech the belt prevents deflection of the head and dislocation of the arms. After symphysiotomy the belt permits spontaneous delivery without the u~e of oxytoeics. .T. P. GREENHILL. Ehrhardt, K., and Henss, E.: The Artificial Induction of Labor in Postmature Pregnancy, Med. Klin. 32: liOO, 1936. The authors used castor oil, quinine, and pituitary extract to induce labor in 322 cases of overterm pregnancy and were successful in 80 per cent. Multiparas reacted more favorably than primiparas. In the primiparas where labor was successfully induced, the duration of the labor was shorter than normal. The best results were obtained in women who had gone one or two weeks past term. There was no apparent increase of forceps deliveries or uterine atony after artificial induction of labor. The authors point out that by these means it is easy to bring about expulsion of a dead baby or a hydatidiform mole. .T. P. GREENHILL. Reiles, M.: Artificial Induction of Labor, Rev. fran<;. de gynec. et d'obst. 31: 335, 1936. The author employed the Stein method in 86 cases. The chief indication was premature rupture of the membranes which occurred in 77 cases. The method proved successful in 71 cases or 82.5 per cent. In four of these cases two and in 3 cases three attempts were made before success was accomplished. In 62 of the 7l successful cases, delivery was spontaneous. '!'he average duration of labor after induction was eight hours and forty-eight minutes for primiparas and four hours for multiparas. No child was lost because of the induction of labor. The total morbidity for the series was 18.6 per cent. ..r. P. GREE~HILL. Movers, F.: Medical Induction of Labor, Monatschr. f. Geburtsh. u. Gynak. 104: 184, 1937. Labor was induced medically in 213 women who were at or beyond term. In 40.7 per cent of the cases labor was terminated within twenty-four hours. However, if the cases of repeated induction are excluded, the incidence of success was only 35.1 per cent. The combination of quinine with pituitary extract was more successful than quinine, calcium, and pituitary extract. However, quinine and calcium gave better results than quinine alone. Among the successful cases, labor was terminated by operative means in 19.6 per cent. The author's method of inducing labor is a modification of Stein's procedure. J. P. GREENHILL,