The bacterial flora and the bactericidal action of the lochia of the normal puerpera

The bacterial flora and the bactericidal action of the lochia of the normal puerpera

Selected Abstracts Pathologic Puerperium Paine, c. G.: The Etiology of Puerperal Infection, Brit. M. J. 1: 243, 1935. Hemolytic streptococci ca...

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Selected Abstracts Pathologic Puerperium Paine, c. G.:

The Etiology

of Puerperal

Infection,

Brit.

M.

J. 1: 243, 1935.

Hemolytic streptococci cause the greater number of puerperal infections. The author describes a mode of study of droplet infection and concludes that the organism is conveyed to the patient by the hands of the attendant, direct spraying from nose and throat, or by patient’s own hands. The obstetric attendant may harboring hcmolytic strepcarry infection from some other ease, by the hands tococci in a trivial lesion, by the hands soiled from pocket handkerchiefs, or by his hands being infected through low momentum droplets from his own throat. Precautionary measures consist in masks of suitable thickness being well secured under the chin and a rigid hand technic. Masking should be done before any preparations for operation are begun. Bacteriologic control of cases is stressed. Carriers should be guarded rigidly. F.L. ADAIR AND S. A. PEARL.

Horn, Il. L.: 43, 1933.

Etiology

of Puerperal

Fever, Monatschr.

f. Geburtsh.

u. Gynik.

95:

In the opinion of Horn, coitus is to be restricted during the first three months It must be entirely eliminated of pregnancy since it may cause an abortion. after the eighth month because it may not only start labor pains in primiparas but may directly cause rupture of the membranes in multiparas and thus lead to premature labor. Coitus just before labor endangers the pregnant woman because there have been reported instances of puerperal sepsis as the direct result of intercourse at this time. In some instances death resulted. The author reports three cases of severe puerperal sepsis observed in the Breslau clinic in all of which the causative factor &as coitus just before labor. J. P. GREENHILL.

Contardo, t-if. B.: Of th8 N0ma.l

The Bacterial PUemrX,

Folia

Flora and the Bisctericidal gynaec.

30:

557,

Action

of th8 Lochia

1933.

From a careful study of lochia Contardo concludes that their bactericidal action is greatest during the first two days after delivery. As the bactericidal action diminished he observed the ascension of germs from the vagina into the uterus. In the normal puerpera he found the following organisms predominating: DSderlein’s bacillus, Staphylomcms al&us and awreu+ streptococcus, nonhemolytie type, saprophytic forms. He does not believe that these organisms cause puerperal infection, but does believe that their growth and ascension are inhibited by the lochia. J. M. PIERCE.

Msrtlaxla, H. s.:

PU8Jtp8rti

The problem of puerperal anatomic pathways for its

IllfeCtiOll, infection spread,

Am.

J. Surg.

is almost on physical

178

26: 90, 1935.

entirely anatomic, and mechanical

depending phenomena

on of