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Spontaneous fracture during pregnancy
73s
AMERICAN
JOURNAI,
OF
OBSTETRICS
AND
GYNECOLOGY
“is at this time in satisfactory condition,” with a reduction in the size of the lesion following x-ray therapy. He is not specific concerning the patient’s status, the length of time she has been under observation, or the details of her treatment. A second patient, aged 33 years, gravida xii, had her last child 14 months previously. At two and a half months the present pregnancy was complicated by vaginal bleeding. The portio vaginalis of the cervix was found to be distorted by an ulcerating crater which bled readily. Under spinal anesthesia a Wertheim operation was performed with an uneventful postoperative course and primary healing. Two months after operation the patient’s general and local condition was good. ARNOLD GOLDBERGEE.
King, Faust and Sanders: Intestinal South. M. J. 30: 545, 1937.
Parasitic
Infections
Complicating
Pregnancy,
During 61/o years, stool examinations were made on 3,290 white obstetric patients; in some instances, two or three specimens from the same patients were examined, so that over 5,000 careful examinations were made. From an obstetric point of view, it is apparent that clinical amebiasis, especially if severe, might be serious complication. None of the patients presented serious symptoms, though in approximately one-half of them the presence of diarrhea or dysentery of variable intensity was noted. The authors agree with Craig that all individuals with amebic infection should be treated, and they see no objection to, and many reasons for, the treatment of pregnant women so infected. The authors know that their general health would be improved and they would not expect the occurrence of abortion or of premature labor as a result of the treatment. How-over, they were not able to treat many of the patients, owing to the fact that the large majority were in the ward for only a few days. It might be noted that the drugs most favored in management of t,his condition are chinoform, carbarxone and vioform. Hookworm infection was found in 185 patients (5.6 per ccntj. It is apparent that a woman with this disease is handicapped to a degree corresponding to the intensity of the infection. This is due in great part to the anemia commonly found, with the concomitant lowering of resistance. The authors had no case of abortion or premature labor as a result of treatment; on the contrary, they feel that such a termination is often avoided because of the improved condition of the patient following eradication of the infection. They prefer the use of tetrachlorethylene in 3 C.C. doses given in hard gelatin capsules on an empty stomach; a saline purge is given the night before and again two hours after administration of the drug. If ascaris is also present, hexylresorcinol is It is as necessary to treat the anemia as to eradicate given at the same time. the infection, and obviously this is particularly true in pregnancy. J. P. GREENHILL.
Bolaffi, IL:
Spontaneous
Fracture
During
Pregnancy,
The author describes a case of spontaneous without apparent cause, in a primipara seven walking in the street. Pregnancy proceeded of the fracture studied by x-ray was normal. fetus was also normal. The author emphasizes
Ginecologia
fracture of the months pregnant normally and the The delivery of a the rarity of this
15: 593, 1937. maternal pelvis, who was slowly healing process 3,350 gm. living observation.
AUGUST
Szendi, B.: Morphologic and Biologic Changes Caused by Trichomonas in the Vagina of Pregnant Women, Arch. f. Gyngk. 162: 479, 1937. Trichomonas uag&aZis was found studied. There were no symptoms discharge and the remaining group
F. DARO. Vaginalis
in the vagina of 44 per cent of the 200 women in about one-third, one-third showed a foamy (30 per cent) had a definite vulvovaginitis with
AMERICAN
JOURNAI,
OF
OBSTETRICS
AND
GYNECOLOGY
“is at this time in satisfactory condition,” with a reduction in the size of the lesion following x-ray therapy. He is not specific concerning the patient’s status, the length of time she has been under observation, or the details of her treatment. A second patient, aged 33 years, gravida xii, had her last child 14 months previously. At two and a half months the present pregnancy was complicated by vaginal bleeding. The portio vaginalis of the cervix was found to be distorted by an ulcerating crater which bled readily. Under spinal anesthesia a Wertheim operation was performed with an uneventful postoperative course and primary healing. Two months after operation the patient’s general and local condition was good. ARNOLD GOLDBERGEE.
King, Faust and Sanders: Intestinal South. M. J. 30: 545, 1937.
Parasitic
Infections
Complicating
Pregnancy,
During 61/o years, stool examinations were made on 3,290 white obstetric patients; in some instances, two or three specimens from the same patients were examined, so that over 5,000 careful examinations were made. From an obstetric point of view, it is apparent that clinical amebiasis, especially if severe, might be serious complication. None of the patients presented serious symptoms, though in approximately one-half of them the presence of diarrhea or dysentery of variable intensity was noted. The authors agree with Craig that all individuals with amebic infection should be treated, and they see no objection to, and many reasons for, the treatment of pregnant women so infected. The authors know that their general health would be improved and they would not expect the occurrence of abortion or of premature labor as a result of the treatment. How-over, they were not able to treat many of the patients, owing to the fact that the large majority were in the ward for only a few days. It might be noted that the drugs most favored in management of t,his condition are chinoform, carbarxone and vioform. Hookworm infection was found in 185 patients (5.6 per ccntj. It is apparent that a woman with this disease is handicapped to a degree corresponding to the intensity of the infection. This is due in great part to the anemia commonly found, with the concomitant lowering of resistance. The authors had no case of abortion or premature labor as a result of treatment; on the contrary, they feel that such a termination is often avoided because of the improved condition of the patient following eradication of the infection. They prefer the use of tetrachlorethylene in 3 C.C. doses given in hard gelatin capsules on an empty stomach; a saline purge is given the night before and again two hours after administration of the drug. If ascaris is also present, hexylresorcinol is It is as necessary to treat the anemia as to eradicate given at the same time. the infection, and obviously this is particularly true in pregnancy. J. P. GREENHILL.
Bolaffi, IL:
Spontaneous
Fracture
During
Pregnancy,
The author describes a case of spontaneous without apparent cause, in a primipara seven walking in the street. Pregnancy proceeded of the fracture studied by x-ray was normal. fetus was also normal. The author emphasizes
Ginecologia
fracture of the months pregnant normally and the The delivery of a the rarity of this
15: 593, 1937. maternal pelvis, who was slowly healing process 3,350 gm. living observation.
AUGUST
Szendi, B.: Morphologic and Biologic Changes Caused by Trichomonas in the Vagina of Pregnant Women, Arch. f. Gyngk. 162: 479, 1937. Trichomonas uag&aZis was found studied. There were no symptoms discharge and the remaining group
F. DARO. Vaginalis
in the vagina of 44 per cent of the 200 women in about one-third, one-third showed a foamy (30 per cent) had a definite vulvovaginitis with