Placenta previa in four successive pregnancies

Placenta Gilliatt: don),

Placenta 1934, liii

Previa 298.

in Four

Previa

Successive

Pregnancies.

CIlinic:~l

Journal

(Lon-

The patient was a woman of thirty-two who prescntcd four placenta prcvias in a8 many pregnancies, hi0 ccntritl and 1:X-o lateral. Two children survived, one died soon after birth and onn was stillborn. The delivcricts occurred each times There WIS nothing particuln~ between the twenty-eighth and thirty-second weeks. to suggest the cause of the prcvia :Llthough in one instnncc the placenta was adherent enough to require manual removal. The patient KIS csaminod four months after each pregnancy but no abnormality of the uterus or appendages was E. H. Fitzpatrick has rcxportcd a pnticnt with fiiva pregnancies and five made out. A%. C. %kLLIAMSON. placenta previas. Pa&, fiir

R.: Intr% Gebuntshiilfe

or Extraavular M&t~~rysis und GynBkologie, 1923,

in lsiv,

Pl%.xnta 145.

Previa.

Monatsschrift

Since 1906 in the treatment of placenta previa extraovular metreurysis has been practiced in the Tassel clinic. The advantages of this method over tho iutraovular insertion of the bag are according to the author as follows: If the bag is inserted intraovularly a certain amount of liquor amnii is necessarily lost. This diminishes the available space for the fetus and predisposc,s to compression of th(Only in cases of polyhydramnios is the intraovular method cord by the bag. a.dvantageous. A second disadvantage of the intraovular method is the danger of infection after rupture of the bag of waters. Some claim that there is increased bleeding when the cxtraovular method is used. This is true only if the bag is not properly used; for if the bag is correctly placed, when filled, it tends to seek the site of least resistance, and displaces rather the mcm,branes and not the placental tissue. Furthermore, whrn the bag which is placed extraovularly is expelled, one can do a \crsion and extraction Even in tota I placental previa extraeasily beeausc the bag of waters is intact. ovular insertion is advan.tageour hecausc to place the bag intraovularlp OLW would In this manner large blood vessels might bc have to bore through the placc>nta. torn or the bag may happen to be inserted near the origin of the cord in the placenta and thus might compress the cord. A bag was used extraovularly in forty-eight cases, among which thirty-two All mothers but three were saved (93.8 children were born alive (66.7 par cent). J. P. GREENHILL. per cent). Von

Jaschlse: TJ& fuer Gynaekologir,

JuaMiication of Cesarean 192.1, (*xvii, 13.

The results arc better Cause there is no danger is negligible in cervical

Section

in placenta previn when of rupture of the uterus s&ion :tnd the mortality 756

in Placenta

Previa.

hrchiv

treated by cesarcan section bcor of f&al hemorrhage. Sepsis is definitely lowore~l. By the