1068
ANERICAN
JOURNAL
OF
OBSTETRICS
AND
Whether or not one agrees fully with the arguments suggested, it must be freely acknowledged that the book tion of a technic, well illustrated, for those obstetricians of and desirous of taking up this type of work.
UYNECOLOGY
advanced and the contains a thorough who feel surgically -Philip
The new edition of Midwifery21 by “Ten Teachers” appears of Dr. Clifford White who supersedes Sir Comyns Berkeley as prepared primarily for the use of students, tms expanded to an make it highly useful to anyone practicsing obstetrics. It is stated book is a product of collective authorship, the entire manuscript criticized, and changed by each of the contributors, so that as a hook represents a modified viewpoint of all ten contributors.
F.
practice descripcapable
Williams
under the direction This hook, editor. extent that should that, although the has heen read, mattrr of fact the
This edition hears witness that much of the obstetric literature in recent years has been reviewed and many advances will be found to have been incorporated in the text: especially is this true regarding the sections on physiology, menstruation, and the ovarian cycle. There is new material, also, in the sections on toxemia of In the last there is presented a dispregnancy, puerperal infection, and pyelitis. cussion of the influence of the ketogenic diet on urinary infections. The eonservative therapy of toxemia of pregnancy is recummmded, and a conservative viewpoint is held regarding operative interference in labor unless for definite indications. The figures shown in thr text clearly demonstrate that the greater the degree of obstetric manipulations in toxemic women the higher the mortality rate will rise. There is little mention of the use of x-rap in connection with thr diagnosis of contracted pelvis or cephalopelvic disproportions. A page is devoted to answering the question regarding sterilization at the time The author of this section feels that, except for a most definite of cesarean section. indication such as a grave organic disease in the mother, the woman should not be sterilized. He states: ‘(It is the parents’ business to aroLl future pregnancy, not the practitioners ’ to make it impossihle. ” However, he does not suggest any methwsxrean section, does not wish to ods of contraception for the \voman who, :ifter become pregnant again. In the excellent section for the relief of lyein in obstetric practice, chloroform is mentioned as the anesthetic still usually employed in England, but its disadvantages are very definitely given. The lateral position of the woman in labor formerly come monly used in England is illustrated only in the section discussing manual rotation of occipitoposterior. The subject of transfusion is well presented. In the discussion of low cervical section, no preliminary separation of the pttritonml flaps, a definite step in the technic advocated in this country, is referred to, and a transverse incision of the uterus is recommended. This volume may he regarded as a very good texthook on obstetrics and from the method of authorship it may’ he considered typifying rather accurately the obstetric teaching of the medical schools in London. -Philip F. Williams In this Practioul Han&ooX: of Midwifery rind Gynaecolgy,22 Haultain and Kennedy have compressed the highpoints of the two associated branches of medicine. It has been necessary in order to save space to present the material very concisely Z’Midwifrry. F.R.C.P. (Lonrl.). ;;;gn and Clifford WPrsctical cologist, and etc. Scconrl
By Ten F.R.C.S. White.
Handbook Clifford
edition.
Teachew. Under the (%xz.), . ptc. Edited by Fifth edition. illustrated,
of Midwifery and Gynnccolog~~. Kennedy, assistant gynaecologist, with 366 pages. William Wood
direction
of Sir Comyns 740 pages.
&
Clifford B+eley. WIlllam
White, J. Wood
S.
M.D., Fair& Co.,
BY W. F. T . Haultain,. GynarRoyal Infirmary, Edmburgh, Company, Baltimore. 1935.
BOOK
lot;!,
REVIEWS
aml one finds etiologic factors, symptoms, signs, and treatments listed in yrwp~. tersely phrased. This style of presentation renders the hook particularly snitnhlt* for the student. There is an excellent tlescription of the p2lvie cellular tissue ~~07 relating anatomy and the spread of pelvic infrrtion. One is surprised at the w(*of~~ mentlntions to permit postpartum patients to bc 1 nllowt~tl up from the fourth day OIL The misrd vaccine treatment of puerperal sepsis has hen found a most satisfar.tr1r.v method in the hands of the authors. The hamlling of gynecology is brief, cowise~ and as in the obstetric section, often hy tahulxr form. The few illustration:: of operative technic do little more than suggest the principles inrl~lwl. The Storkholtl! mrthod of radiation is the choice of treatment in carcinoma of tlw cervix. X:Lli) advances in obstetrics and gynecology which have orcurretl
History
of Medicine
Thorns has written a charming historic!ll Obstetrics and GynecoZo8gy23 dedicated to lvitll a foreword by Howard A. Kelly.
monoqapll tlte mrmcwy
on Cltrssicnl Co~~trihu~fiwrs to of .I. Whitridge Willi;~ms.
The author has selected with excellent judgmrnt, strikixq personalities to illus trate eac!h phase of obstetric and g~necologic history that 11e desires to emphwizt~. Sufficient c~haracteristic extracts from the lvritings of these famous figures are present to give the reader an excellent conceptirm of his place in medical history. So livinq person has been considered, anil no c,nc whew artix4tifxs &end4 hcyn?lrl 1900. Ttr illustrate, the chapter on general obstetrilas begins in the second centur!: with and in this period likewise mentions Sorxnus. He then skips to William Harvey. Hendrik van Deventcr, William Hunter, as well as Lrjumean de Kergdrehr. Thus he covers the early period, the introduction of ergot, and the discovery of the fetal heart. He then takes up James Young Simpson, .John Rraxton Hick, Hegar, anIl Pinard, who died at the age of ninety in 1934. The succeeding chapters deal with the course of labor, the pathology of pregnancy, operations of obstetrics, puerperxl infection, deformities of the pelvis, and cwnchtdes with gynecology. bv. numerous interesting CUI~? Not only is the bookmaking faultless and nwaced rare illustrations but the style of the author is attrac,tire and readable. This wrk will be enjoyed by every gynecologist and obstetrician. ---R. T. Frnd~ Riesmnn has written a fascinating book on I’hr Btory of Medicine in the Middk Ages.24 According < to the author the Middle Ages should not be called the (‘Dark though superstitions, harharous and cruel c horns were prevalnnt, Ages. 7 ’ Even humanit,y was not stupid. With one church, one language (Latin), one sjlcial society, every cultured person could make himself understood in any country, and interchange of opinion was MomMedicine at this time was not sharply separated from philosophy and themon. ology. It is impossible in a review to do justice to the enormous amount of mate. The author covers the Crreek rial incorporated in this comparatively small volume. ‘WXassical
Contributions
Associate Professor by Howard A. Kelly. versity. 205 pages.
to
Obstetrics
snd
Gyneeolog~.
By
Herbert
Thorns.
M.D.,
of Obstetrics and Gynecology, Yale University. With a Foreword M.D., Professor Emeritus of Gynecology, The Johns Hopkins UniCharles C. Thomas, Springfleld, Ill., 1935. By David Riesman, M.D., Sc.D., Pro24The Story of Medicine in the Middle Ages. fessor of History of Medicine and Professor Emeritus of Clinical Medicine, University of Pennsylvania, etc. Illustrated, 402 pages. Paul P. Hoeber, Inc., New York, IQ35.