SELECTED
712 Agilero,
Oscar: 1946.
The
Weight
of Normal
Am. J. Oter.
ABSTRACTS Pregnant
Women,
Rev.
de obst.
y ginec.
&Gym. April, 1047
6: 95.l(ll,
The author studied the weights of 432 pregnant women seen at the Conception Palacios Mate&dad in Caracas. He found that the ac&ago gain in weight was 9 Kg. 119.8 1bs.l. In 53 per cent of the patients, the greatest gain was in the third trimester of pregnancy. Multiparas shoved a greater tendency to gain weight than primipams. Multiparas gained on of S.G-L Jig. an average of 9.57 Kg. (21.1 Ibs.), whereas primiparas gained on an average (19 lbs.). The age of the mother had no influence on the amount of weight gained. Neither the duration of labor nor the freqqency of opcratiye intervention had any relationship to the amount of gain in weight. On the other hand, the weight of the baby increased in direct .J. P. ~tlE5S~IlI,l.. relationship with the maternal gain in weight. Murray, 54:
Blair 288,
IX: Some 1946.
Observations
on the
Role
of Protein
in Pregnancy,
West.
.I. Surg.
The obstetrician should be interested in protein metabolism from two standpoints: Protein is a eolloid substance of large mole(1) obstetrical shock, and (2) obstetrical diet. cule, relatively impermeable to tissue membrane, and, therefore, of the greatest importance in maintaining water equilibrium between the vascular system and the intercellular spaces. Loss of protein from the vascular system in shock or hemorrhage is most conveniently replaced by the use of human plasma. Animal plasma has been broken down into five protein fractions. The most important of these, albumin, has been isolated in pure form and map be used as a quick acting and powerful means of increasing the osmotic pressure in the vascu1a.r system. The author stresses the point that amino acid soIution must not be confused with these new protein solutions; the amino acids have value as food, but do nothing to combat shock. Edema may be prevented The importance of protein in the obstetric diet is emphasized. Skim milk powder is a and the incidence of toxemias reduced by high protein, low salt diet. practical means of giving protein. WILLIAM BICKERS.
Pregnancy, Neary,
Edward R.: Iron Deficiency
Complications,
The Use of Molybdenized Anemia of Pregnancy, Am.
Toxemia
Ferrous Sulfate in the J. M. SC. 212: 76, 1946.
Treatment
of True
The hydremia that is almost always associated with pregnancy results in an apparent anemia. However, many women do have a true hypochromia anemia during pregnancy. A group of these cases was treated by Neary with molybdenizcd ferrous sulfate, and another group with plain ferrous sulfate. The results of this carefully controlled work indicated that patients treated with the molybdenized iron showed a therapeutic response which was sustained until normal hemoglobin levels were obtained. In contrast, those patients treated with simple ferrous sulfate showed an initial favorable response and then apparently reached a plateau at which the hemoglobin levels were still subnormal. This persisted in spite of continued treatment. When the molybdenized product was given to these patients, their hemoglobin values again rose until a normal figure was reached. From this work it would appear that molybdenized ferrous sulfate is more effective than plain ferrous sulfate in the treatment of iron-deficiency anemia of pregnancy. HERBERT J. SIMON. Watson,
Janet, and Castle, William B.: Nutritional Macrocytic Pregnancy, Response to a Substance in Liver Other Than That Anemia, Am. J. M. Se. 211: 513, 1946.
In certain extract.
this article Watson cases of nutritional It would appear
Anemia, Effective
and Castle discuss the causes of the failure maerocytic anemia, especially in pregnancy, that the Unitarian concept, suggested earlier
Especially in in Pernicious
of response in to purified liver by Strauss and