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Premature rupture of membranes
Induced To
abortion
IIcing
the Editors: I am most
grateful
that
Dr.
Calderonc
has
one
quoted Dr. E. Stewart (AX J. &ST. Sr GYNEC. graphs 2 and 3) :
conclusion
from
thtxir
rupture
of membranes
the Editors.. I beliwe that on page 592 of the March, 1964, issue of the JOURNAL Drs. Wideman, Baird, and Balding misread and misquoted us when they stated in their article concerning the role of vitamin C in premature rupture of the membranes: “Knox and Hoerner have dismissed the possiblr role of infection in the occurrence of this phcnomcnon.“3 (AM. J. OBST. & GYNEC. 59: 190, 1950.) Actually, our conclusion was: “Infection in the female reproduction tract (esp&ally in the cervix) can cause premature rupture of the membranes and induce premature labor. This process is, in turn, responsible for many preventable infant deaths.” J. K. Hoarner, M.D. 36 Wyoming Street Dayton 9. Ohio
Toxemia To
if
I had
of pregnancy
the Editors.. Berger and Cavanagh have recently reviewed tht. theor(*tic.al conceptions of the pathogenesis of Inclabolic to.xrniia of late pregnancy and prcscntckd data to strengthen the “utrroplacental isc.hctnia” theory (AnI. J. OBST. & GYNEC. 87: ?93, 1963 j . ‘This theory that a reduction of blood tlow through the uterus is a primary event in t ht. dcvelopmrnt of toxemia has many weakIIC’SSCS, but the following facts cast doubt on its \.atidit),.
by Dr. Wideman to Drs. Knox picture of
better
;1gain 1 post the question, could a deficiency of ascorbic arid account for a decrease in tensile strength of the fetal membranes and a higher incidrnre of spontaneous premature rupture of thr mcmbranrs in the “no complications” group:’ LVith tht, incidence of cervicitis as great as it is in prcnancy, it is difficult for me to believ,, this is a significant etiologic factor in spontaneous prc~maturc rupture of the fetal membranes. I ha\.c found infection a significant complication aftc’r the mcmbranrs have ruptured but not. l~sf< Ii‘<,. Ciildrr L. Tl’idcman. M.D. 920 South 19th Street Birminghnm 5, Alabamu
To
‘1‘1) the- Editors: My apologicas c’sact histological
bren
Taylor and associates 82: 1342, 1961, para-
“In an analysis of 468 patients with (previous! rupture of membranes. spontaneous premature there were 346 or 74 per cent with no previous In thr medical or obstetrical complications. remaining 26 per cent. urinary tract infection was the most common complication. In the present pregnancy there were no complications in 384 (82 per cent). Again, thp rv rnaining complications included toxemia and urinary tract infections (Table I).”
21,s refercnccs for the estimated annual numbcl of induced abortions in the United States. Actually that figure “could be as low as 200,000 and as high as 1,200,OOO” comes from the volume Abortion in the United Statrs. Caldcrone, MarySteichen, editor: Paul B. Hoeber, Inc., nir~ York, 1958, p. 180. Robert S. Mumford, M.D. 55 East 86th Street New York, New York 10028
Reply
I drew-
drew another. perhaps it would have
been good enough to point out to me a mistaken rrfrrencr in my paper, An interdisciplinary study of four wives who had induced abortions, AN. J. OBST. & GYNEC. 87: 865, 1964. On page 865 I gave “Gebhard and Pomeroy”
Premature
debated.
data--they
and Hoorncr. The amnionitis is still 838
abortion
IIcing
the Editors: I am most
grateful
that
Dr.
Calderonc
has
one
quoted Dr. E. Stewart (AX J. &ST. Sr GYNEC. graphs 2 and 3) :
conclusion
from
thtxir
rupture
of membranes
the Editors.. I beliwe that on page 592 of the March, 1964, issue of the JOURNAL Drs. Wideman, Baird, and Balding misread and misquoted us when they stated in their article concerning the role of vitamin C in premature rupture of the membranes: “Knox and Hoerner have dismissed the possiblr role of infection in the occurrence of this phcnomcnon.“3 (AM. J. OBST. & GYNEC. 59: 190, 1950.) Actually, our conclusion was: “Infection in the female reproduction tract (esp&ally in the cervix) can cause premature rupture of the membranes and induce premature labor. This process is, in turn, responsible for many preventable infant deaths.” J. K. Hoarner, M.D. 36 Wyoming Street Dayton 9. Ohio
Toxemia To
if
I had
of pregnancy
the Editors.. Berger and Cavanagh have recently reviewed tht. theor(*tic.al conceptions of the pathogenesis of Inclabolic to.xrniia of late pregnancy and prcscntckd data to strengthen the “utrroplacental isc.hctnia” theory (AnI. J. OBST. & GYNEC. 87: ?93, 1963 j . ‘This theory that a reduction of blood tlow through the uterus is a primary event in t ht. dcvelopmrnt of toxemia has many weakIIC’SSCS, but the following facts cast doubt on its \.atidit),.
by Dr. Wideman to Drs. Knox picture of
better
;1gain 1 post the question, could a deficiency of ascorbic arid account for a decrease in tensile strength of the fetal membranes and a higher incidrnre of spontaneous premature rupture of thr mcmbranrs in the “no complications” group:’ LVith tht, incidence of cervicitis as great as it is in prcnancy, it is difficult for me to believ,, this is a significant etiologic factor in spontaneous prc~maturc rupture of the fetal membranes. I ha\.c found infection a significant complication aftc’r the mcmbranrs have ruptured but not. l~sf< Ii‘<,. Ciildrr L. Tl’idcman. M.D. 920 South 19th Street Birminghnm 5, Alabamu
To
‘1‘1) the- Editors: My apologicas c’sact histological
bren
Taylor and associates 82: 1342, 1961, para-
“In an analysis of 468 patients with (previous! rupture of membranes. spontaneous premature there were 346 or 74 per cent with no previous In thr medical or obstetrical complications. remaining 26 per cent. urinary tract infection was the most common complication. In the present pregnancy there were no complications in 384 (82 per cent). Again, thp rv rnaining complications included toxemia and urinary tract infections (Table I).”
21,s refercnccs for the estimated annual numbcl of induced abortions in the United States. Actually that figure “could be as low as 200,000 and as high as 1,200,OOO” comes from the volume Abortion in the United Statrs. Caldcrone, MarySteichen, editor: Paul B. Hoeber, Inc., nir~ York, 1958, p. 180. Robert S. Mumford, M.D. 55 East 86th Street New York, New York 10028
Reply
I drew-
drew another. perhaps it would have
been good enough to point out to me a mistaken rrfrrencr in my paper, An interdisciplinary study of four wives who had induced abortions, AN. J. OBST. & GYNEC. 87: 865, 1964. On page 865 I gave “Gebhard and Pomeroy”
Premature
debated.
data--they
and Hoorncr. The amnionitis is still 838