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Primiparae in the fifth decade of life
488
AMERICAN
JOURNAI)
OF
OBSTETRICS
.4ND
CYNECOLOGY
8. The Rddix count is of considerable value in differentiating the various t,ypes of toxemia during pregnancy. 9. Careful observations and wqenfed studies of the blood, urine, and renal function over a period of years in a. large number of toxemic patients are essential for a PropeP classification. REFEREN<‘ES
Adair,
F. L. :
AX. J. 0s~~. L GYNEC. 26: 530, 1933. I&m: Minnesota Med., p. 170, 1924. Addis, T.: J. A. M. -4. 85: 163, 1925. Cafbtarow, A., and Ricchiuti, a: Arch. Int. Med. 52: 637, 1933. DPSROO, K. : Monatschr. f. Geburtsh. u. Gymik. 57: 235, 1922. Dieckmann, n’m. .I.: Surg. @arc. Obst. 59: 678, 1934. Idem: Ax J. OBST. k GYNEC. 26: 543, 1933. Irl~v~: Au. J. OBST. & GYNEC. 22: 351, 1931. Dze&?wz%, Wm. J., and Wegwer, Ct. R.: Arch. Int. Med. 53: 540, 1934. Harris, J.: Johns Hopkins Hosp. Bull. 35: 103, 19%. Holtermann, C,.: Zentralbl. f. GynPk. 52: 1196, 1928. Hsurwitz, D., rind Ol~kr. W.: .r. Glin. Investigation 11: 1119, 1932. Janney, J., and Walker, E.: J. A. M. ;2. 99: t’OiR, 1932. MacLean, H.: Brit. M. J. 2: 425, 1921. Nvvcrma,nn, H. : Arch. f. Gynak. 129: 891, 1927. Pec7cham, C., rind Johns Hopkins Hosp. 49: 225, 1931. Rabinowitch, I. M.: Arch. xtout, M. : Bull. Int. Med. 32: 927, 1923. Schttlfs, TT.: Miinchcn. med. Wchnschr. 79: 2038, 1932. Sohwarz, 0. H., and LXeckmann, Wm. J.: An<. J. OBST. &I GYNEC. 18: 515, Personal communication. Slemons, J.: 1929. Sohwarz, 0. H., and IVegney, C. R.: Johns Hopkins Hosp. Reports 12: 111, 1904. Spalding, A., Sheuky, M., and Add& 1.: AX. J. 0~s~. & G~NEC. 4: 350, 1932. Stander, H. J.: Southern M. J. 27: New England J. Med. 201: 458, 1929. Idem: AIV~. J. OBST. & 458, 1929. Idem: GYNEC. 26: 133, 1933. Stander, H., Ashton, P.. and Cadden, J.: AM. J. (33~~.& T,:
Bhreninger-Guggenberger Life, Arch. f. Gynlk.
and Leutenmayer: Primiparae in 154:
309,
the
Fifth
Decadeof
19%.
The incidence of primiparas more than forty years old has increased in Germany since tho World War. The authors report on 151 such patients deliveretl in the Munich Frauenklinik. They found among them a higher incidence of contracted pelvis with a correspondingly high morbidity and mortality. Another serious complication in this group is the high rate of cardiac disease; there was cclampsia was not encounterell. Apparno increased incidence of renal discasc; cntly the percentage of women carrying t,o term rlccreascs as the age increases rince one out of every six in this group had a premature labor. The duration of labor during the fifth dccadc is no greater than in the fourth Ilccadc; labor lasted longer than twenty-four hours in one out of four, and longer than two days in one out of every ?i. Premature rupture of the membranes occurred once in every 3.5 patient,s. Every third labor was terminated hy operative tIelivery; one in six by forceps. The fetal mortality is high, there being one death in every 5.5 deliveries. RALPH
Macchiarulo, 0. : A Folia
gynec.
31:
Case of Primary 89, 1934.
Eeel~inoccous
Cyst
Infestation
A.
REX
of the tTterus,
After a review of the few cases of eechinoccous cyst infestation of the uterus qortcd in literature, the author describes a case of primary infestation of the uterus observed by him. He concludes that the only rational treatment is hysterectomy. MARIO
A.
CASTALLO.
AMERICAN
JOURNAI)
OF
OBSTETRICS
.4ND
CYNECOLOGY
8. The Rddix count is of considerable value in differentiating the various t,ypes of toxemia during pregnancy. 9. Careful observations and wqenfed studies of the blood, urine, and renal function over a period of years in a. large number of toxemic patients are essential for a PropeP classification. REFEREN<‘ES
Adair,
F. L. :
AX. J. 0s~~. L GYNEC. 26: 530, 1933. I&m: Minnesota Med., p. 170, 1924. Addis, T.: J. A. M. -4. 85: 163, 1925. Cafbtarow, A., and Ricchiuti, a: Arch. Int. Med. 52: 637, 1933. DPSROO, K. : Monatschr. f. Geburtsh. u. Gymik. 57: 235, 1922. Dieckmann, n’m. .I.: Surg. @arc. Obst. 59: 678, 1934. Idem: Ax J. OBST. k GYNEC. 26: 543, 1933. Irl~v~: Au. J. OBST. & GYNEC. 22: 351, 1931. Dze&?wz%, Wm. J., and Wegwer, Ct. R.: Arch. Int. Med. 53: 540, 1934. Harris, J.: Johns Hopkins Hosp. Bull. 35: 103, 19%. Holtermann, C,.: Zentralbl. f. GynPk. 52: 1196, 1928. Hsurwitz, D., rind Ol~kr. W.: .r. Glin. Investigation 11: 1119, 1932. Janney, J., and Walker, E.: J. A. M. ;2. 99: t’OiR, 1932. MacLean, H.: Brit. M. J. 2: 425, 1921. Nvvcrma,nn, H. : Arch. f. Gynak. 129: 891, 1927. Pec7cham, C., rind Johns Hopkins Hosp. 49: 225, 1931. Rabinowitch, I. M.: Arch. xtout, M. : Bull. Int. Med. 32: 927, 1923. Schttlfs, TT.: Miinchcn. med. Wchnschr. 79: 2038, 1932. Sohwarz, 0. H., and LXeckmann, Wm. J.: An<. J. OBST. &I GYNEC. 18: 515, Personal communication. Slemons, J.: 1929. Sohwarz, 0. H., and IVegney, C. R.: Johns Hopkins Hosp. Reports 12: 111, 1904. Spalding, A., Sheuky, M., and Add& 1.: AX. J. 0~s~. & G~NEC. 4: 350, 1932. Stander, H. J.: Southern M. J. 27: New England J. Med. 201: 458, 1929. Idem: AIV~. J. OBST. & 458, 1929. Idem: GYNEC. 26: 133, 1933. Stander, H., Ashton, P.. and Cadden, J.: AM. J. (33~~.& T,:
Bhreninger-Guggenberger Life, Arch. f. Gynlk.
and Leutenmayer: Primiparae in 154:
309,
the
Fifth
Decadeof
19%.
The incidence of primiparas more than forty years old has increased in Germany since tho World War. The authors report on 151 such patients deliveretl in the Munich Frauenklinik. They found among them a higher incidence of contracted pelvis with a correspondingly high morbidity and mortality. Another serious complication in this group is the high rate of cardiac disease; there was cclampsia was not encounterell. Apparno increased incidence of renal discasc; cntly the percentage of women carrying t,o term rlccreascs as the age increases rince one out of every six in this group had a premature labor. The duration of labor during the fifth dccadc is no greater than in the fourth Ilccadc; labor lasted longer than twenty-four hours in one out of four, and longer than two days in one out of every ?i. Premature rupture of the membranes occurred once in every 3.5 patient,s. Every third labor was terminated hy operative tIelivery; one in six by forceps. The fetal mortality is high, there being one death in every 5.5 deliveries. RALPH
Macchiarulo, 0. : A Folia
gynec.
31:
Case of Primary 89, 1934.
Eeel~inoccous
Cyst
Infestation
A.
REX
of the tTterus,
After a review of the few cases of eechinoccous cyst infestation of the uterus qortcd in literature, the author describes a case of primary infestation of the uterus observed by him. He concludes that the only rational treatment is hysterectomy. MARIO
A.
CASTALLO.