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Pregnancy near term in a uterine horn and tubal gestation near term with dead fetus
743
ABSTRACTS A literature so far credibly
search by Park reported.
suggests
that
the larger
of these
twins
is the heavier
CLAIR E. FOLSOME. Darke, 148,
Roy A.:
Late Effects of Severe Asphyxia
Neonatorum,
J.
Pediat.
24:
1944.
Asphyxia neonatorum is festations of anoxia which tion, obstruction to fetal delivery trauma, maternal livery, long second-stage labor
a clinical term commonly used to designate the maniresults from obstuctiun to placental or fetal circularespiratory passages, narcosis, prematurity, abnormal anemia, maternal fever, rapid labor, instrumental deor premature rupture of membranes.
The author reviemed 25,261 deliveries (New York Hospital, 13,740; University of Pennsylvania Hospital, 11,5~21). The ages of nineteen of the asphyxiated children at the time of the follow-up examination varied from 2 years and 5 months, to 11 years and 8 months. A parent or sibling of each asphyxiated child was examined to form the control group. The author shows that a statistically significant difference in mental status exists between a group of children severely asphyxiated and apneic at birth and a control group consisting of their siblings or parents.
JAIIES P. MARR.
Pregnancy.
Complications
Peres, M. L.: The Etiology and Pathology of Some Spontaneous Ruptures Uterus in Pregnancy, Obst. y ginec. Latino-Am. 1: 509-524, 1943.
of the
The author is not concerned with rupture of the uterus due to such conditions as congenital anomalies or surgical trauma due to cesarean section or myomectomy. He deals, however, with ruptures due to the eroding action of villi in cases of placenta accreta or hydatid mole and also with ruptures which result from degeneration of the uterine muscle, phlebectasis and adenomyosis. He also takes up ruptures due to scars from previous myometrial injury which t,ook place during normal or abnormal labor. In the latter group, the author includes scars which resulted from uterine apoplexy, curettage and manual removal of the placenta. J. P.
GREENHILL.
Infantozzi, J., Ximeno, M. R., Crottogini, J. J., Granipietro, G., and de Santiago, A. P.: Pregnancy Near Term in a Uterine Horn and Tubal Gestation Near Term With Dead Fetus, O&t. y Ginec. Latino-Am. 1: 525550, 1943. The authors report a case of near-term pregnancy in a rudimentary horn of the uterus and an advanced tubal gestation which reached the eighth month. In studying these cases the authors discovered a new radiologic sign which permits differentiation between an advanced tubal pregnancy and a gestation in a uterine horn. In cases of rudimentary horn pregnancy, the fetal membranes are thick, whereas in extrauterine pregnancies the membranes are thin. Likewise, hysterosalpingography offers a means of differentiating between these two types of pregIn cases of rudimentary horn gestation, the customary triangular shape of nancy. the uterus is absent. The uterus is longer, thinner, and corresponds to a horn of a In cases of tubal pregnancy, the uterus retains its triangular uterus duplex. shape, although it is deformed by pressure of the adjacent fetal sac. J. P.
GREENHILL.
ABSTRACTS A literature so far credibly
search by Park reported.
suggests
that
the larger
of these
twins
is the heavier
CLAIR E. FOLSOME. Darke, 148,
Roy A.:
Late Effects of Severe Asphyxia
Neonatorum,
J.
Pediat.
24:
1944.
Asphyxia neonatorum is festations of anoxia which tion, obstruction to fetal delivery trauma, maternal livery, long second-stage labor
a clinical term commonly used to designate the maniresults from obstuctiun to placental or fetal circularespiratory passages, narcosis, prematurity, abnormal anemia, maternal fever, rapid labor, instrumental deor premature rupture of membranes.
The author reviemed 25,261 deliveries (New York Hospital, 13,740; University of Pennsylvania Hospital, 11,5~21). The ages of nineteen of the asphyxiated children at the time of the follow-up examination varied from 2 years and 5 months, to 11 years and 8 months. A parent or sibling of each asphyxiated child was examined to form the control group. The author shows that a statistically significant difference in mental status exists between a group of children severely asphyxiated and apneic at birth and a control group consisting of their siblings or parents.
JAIIES P. MARR.
Pregnancy.
Complications
Peres, M. L.: The Etiology and Pathology of Some Spontaneous Ruptures Uterus in Pregnancy, Obst. y ginec. Latino-Am. 1: 509-524, 1943.
of the
The author is not concerned with rupture of the uterus due to such conditions as congenital anomalies or surgical trauma due to cesarean section or myomectomy. He deals, however, with ruptures due to the eroding action of villi in cases of placenta accreta or hydatid mole and also with ruptures which result from degeneration of the uterine muscle, phlebectasis and adenomyosis. He also takes up ruptures due to scars from previous myometrial injury which t,ook place during normal or abnormal labor. In the latter group, the author includes scars which resulted from uterine apoplexy, curettage and manual removal of the placenta. J. P.
GREENHILL.
Infantozzi, J., Ximeno, M. R., Crottogini, J. J., Granipietro, G., and de Santiago, A. P.: Pregnancy Near Term in a Uterine Horn and Tubal Gestation Near Term With Dead Fetus, O&t. y Ginec. Latino-Am. 1: 525550, 1943. The authors report a case of near-term pregnancy in a rudimentary horn of the uterus and an advanced tubal gestation which reached the eighth month. In studying these cases the authors discovered a new radiologic sign which permits differentiation between an advanced tubal pregnancy and a gestation in a uterine horn. In cases of rudimentary horn pregnancy, the fetal membranes are thick, whereas in extrauterine pregnancies the membranes are thin. Likewise, hysterosalpingography offers a means of differentiating between these two types of pregIn cases of rudimentary horn gestation, the customary triangular shape of nancy. the uterus is absent. The uterus is longer, thinner, and corresponds to a horn of a In cases of tubal pregnancy, the uterus retains its triangular uterus duplex. shape, although it is deformed by pressure of the adjacent fetal sac. J. P.
GREENHILL.