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Perinatal mortality in Ireland
Selected Abstracts* Irish Journal Sixth
Series,
No.
‘Bowesman,
35,8, April,
of Medical Science
1955.
Charles : Post Partum Vaginal
Bowesman:
Post Parturn
Vaginal
Fi&ulae,
Fistulae,
p. 147.
p. 147.
One hundred fifty operations between 1935 and 1954 in West Africa for the following postpartum conditions are reported: (a) vesicovaginal fistula, (b) rectovaginal flstnla, (c) ureterovaginal fistula. The operations discussed and recommended are: 1. Vesicovaginal fistula-local repair: (a) From below, per vaginam. (b) From above: (1) transperitoneal, (2) extraperitoneal. (c) From above, transvesical. 2. Rectovaginal fistula-local repair. 3. Ureterovaginal fistula-reimplantation of ureter. 4. Transplantation of ureters: transperitoneal, extraperitoneal. 5. Closure of vulva. The indications, contraindications, and techniques of these procedures are discussed, along with preoperative and postoperative therapy. Local repair of vesicovaginal fistula was successful in 83 per cent of the patients The operations and combinations thereof performed are presented in a long so treated. statistical table. The author believes that the large incidence is directly related to the inadequate obstetrical services of West Africa. SCHUYLER G. KOHL, M.D. Sixth Series, No. 955, July, 1955. O’Donoghue, R. F.: Pregnancy in the Tubal Remnant Following Salpingectomy, p. 327. Sixth
Series,
No.
356,
August,
1955.
“Deeney, James A. : Perinatal Deeney:
Perinatal
Mortality
Mortality
in Ireland,
in Ireland,
p. 349.
p. 349.
This is an introduction of the concept of “perinatal mortality” to the practitioners of Ireland. At present stillbirths are not reported to the Public Health Agency for tabulation. Therefore, it is not possible to publish “perinatal mortality” for Ireland. From the complete data available for the three maternity hospitals of Dublin, the author has estimated a perinatal mortality (birth weight over 1,000 grams) of 53.7 per 1,000 live births. This is a higher rate than in any other European country. The author has analyzed the perinatal mortality of the Dublin Hospitals and made certain recommendations for decreasing this extremely high rate. He concludes that one-third of the perinatal loa is preventable. SCHUYLER *Titles
preceded
by an asterisk
are
abstracted 925
below.
G. KOHL,
M.D.
Series,
No.
‘Bowesman,
35,8, April,
of Medical Science
1955.
Charles : Post Partum Vaginal
Bowesman:
Post Parturn
Vaginal
Fi&ulae,
Fistulae,
p. 147.
p. 147.
One hundred fifty operations between 1935 and 1954 in West Africa for the following postpartum conditions are reported: (a) vesicovaginal fistula, (b) rectovaginal flstnla, (c) ureterovaginal fistula. The operations discussed and recommended are: 1. Vesicovaginal fistula-local repair: (a) From below, per vaginam. (b) From above: (1) transperitoneal, (2) extraperitoneal. (c) From above, transvesical. 2. Rectovaginal fistula-local repair. 3. Ureterovaginal fistula-reimplantation of ureter. 4. Transplantation of ureters: transperitoneal, extraperitoneal. 5. Closure of vulva. The indications, contraindications, and techniques of these procedures are discussed, along with preoperative and postoperative therapy. Local repair of vesicovaginal fistula was successful in 83 per cent of the patients The operations and combinations thereof performed are presented in a long so treated. statistical table. The author believes that the large incidence is directly related to the inadequate obstetrical services of West Africa. SCHUYLER G. KOHL, M.D. Sixth Series, No. 955, July, 1955. O’Donoghue, R. F.: Pregnancy in the Tubal Remnant Following Salpingectomy, p. 327. Sixth
Series,
No.
356,
August,
1955.
“Deeney, James A. : Perinatal Deeney:
Perinatal
Mortality
Mortality
in Ireland,
in Ireland,
p. 349.
p. 349.
This is an introduction of the concept of “perinatal mortality” to the practitioners of Ireland. At present stillbirths are not reported to the Public Health Agency for tabulation. Therefore, it is not possible to publish “perinatal mortality” for Ireland. From the complete data available for the three maternity hospitals of Dublin, the author has estimated a perinatal mortality (birth weight over 1,000 grams) of 53.7 per 1,000 live births. This is a higher rate than in any other European country. The author has analyzed the perinatal mortality of the Dublin Hospitals and made certain recommendations for decreasing this extremely high rate. He concludes that one-third of the perinatal loa is preventable. SCHUYLER *Titles
preceded
by an asterisk
are
abstracted 925
below.
G. KOHL,
M.D.