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The effect of syphilis and its treatment on the incidence of toxemia of pregnancy
541
ABSTRACTS
Peckham, Charles II.: The Effect of Syphilis and Its Treatment on the Incidence of Toxemia of Pregnancy, Am. J. Syph., Gonor. & Ven. Dis. 25: 280, 1941. This is a report of 13,742 consecutive deliveries at the Johns Hopkins Hospital. Antisyphilitic treatment administered to pregnant syphilitic women during pregnancy does not increase the incidence of toxemias of pregnancy. C.
Setzer, 0.: Dependency 64: 972, 1940.
of Eclampsia
Upon Climatic
0.
Factors, Zentralbl.
MALAND.
f. GynBk.
The author studied meteorologic conditions obtaining during 129 attacks of eclampsia. A change in weather either to colder or warmer was noted at the onset of 75 per cent of cases. A change to cold was found in 54 per cent more cases than a change to warm weather. Relative humidity was high at the onset of eclampsia in 68 per cent of cases. An increase in the incidence of eclampsia was found in April, May, and June and in the months in which there were many changes from cold to warm weather. Barometric pressure as a factor was not considered in this study. R. J. WEISSMAN. Lennon,
G. Gordon:
Eclampsia-A
Statistical
Review,
Brit.
M. J. 1: 944, 1938.
A comprehensive study and report of eclampsia in the northeastern area of Scotland is given. Colon lavage, gastric lavage, and venesection (for blood pressure over 160 mm. Hg) are done. Also 1 gr. of thyroid extract is given daily to further diuresis. Occasionally, veratrone, 1h C.C. intramuscularly, is used as an alternative for venesection. Membranes are ruptured for labor induction if the patient is at or near term. When labor has already begun, it is terminated as quickly as possible. Conservative measures are employed only if the patient is unduly far from term and if she responds well to treatment. The incidence of eclampsia in the Aberdeen Hospital over a period of five years was 1.59 per cent. The incidence was 18 per cent higher in the winter months from October to March than from April to September; 73.77 per cent of the cases occurred in either first or second pregnancies, 65 per cent up to the age of 30 years without any deaths. The mortality rate over 30 years was 28.6 per cent. Antipartum eclampsia was as common after 30 years of age as before. However, the post-partum type was more common (77 per cent of cases) before the age of 30. There was a striking difference between the mortality rates for towns (5.71 per cent) and for the county (15.4 per cent). The maternal mortality rate for this series was 9.84 per cent. This figure was The fetal mortality rate, including neonatal doubled in illegitimate pregnancies. loss, was 39.34 per cent. F. L. ADAIR AND JOHN A. HAUGEN. McKelvey, John L.: Remote Vascular Lesions of the Toxemias of Pregnancy Their Clinical Significance, The Journal Lancet 51: 35, 1941.
and
The author gives consideration to the role of pregnancy in the production of arteriosclerosis and points out that pregnancy always advances the lesion. In some cases pregnancy may produce a speedy progression of the disease with ultimate destruction. Of all the known exacerbating agents in hypertension, pregnancy is the most certain and severe. Not only does the pregnancy affect the arteriosclerosis but the pregnancy may be prejudiced by the toxemia, the major effect lying in the production of the condition known as ablatio placentae. It is felt that the
ABSTRACTS
Peckham, Charles II.: The Effect of Syphilis and Its Treatment on the Incidence of Toxemia of Pregnancy, Am. J. Syph., Gonor. & Ven. Dis. 25: 280, 1941. This is a report of 13,742 consecutive deliveries at the Johns Hopkins Hospital. Antisyphilitic treatment administered to pregnant syphilitic women during pregnancy does not increase the incidence of toxemias of pregnancy. C.
Setzer, 0.: Dependency 64: 972, 1940.
of Eclampsia
Upon Climatic
0.
Factors, Zentralbl.
MALAND.
f. GynBk.
The author studied meteorologic conditions obtaining during 129 attacks of eclampsia. A change in weather either to colder or warmer was noted at the onset of 75 per cent of cases. A change to cold was found in 54 per cent more cases than a change to warm weather. Relative humidity was high at the onset of eclampsia in 68 per cent of cases. An increase in the incidence of eclampsia was found in April, May, and June and in the months in which there were many changes from cold to warm weather. Barometric pressure as a factor was not considered in this study. R. J. WEISSMAN. Lennon,
G. Gordon:
Eclampsia-A
Statistical
Review,
Brit.
M. J. 1: 944, 1938.
A comprehensive study and report of eclampsia in the northeastern area of Scotland is given. Colon lavage, gastric lavage, and venesection (for blood pressure over 160 mm. Hg) are done. Also 1 gr. of thyroid extract is given daily to further diuresis. Occasionally, veratrone, 1h C.C. intramuscularly, is used as an alternative for venesection. Membranes are ruptured for labor induction if the patient is at or near term. When labor has already begun, it is terminated as quickly as possible. Conservative measures are employed only if the patient is unduly far from term and if she responds well to treatment. The incidence of eclampsia in the Aberdeen Hospital over a period of five years was 1.59 per cent. The incidence was 18 per cent higher in the winter months from October to March than from April to September; 73.77 per cent of the cases occurred in either first or second pregnancies, 65 per cent up to the age of 30 years without any deaths. The mortality rate over 30 years was 28.6 per cent. Antipartum eclampsia was as common after 30 years of age as before. However, the post-partum type was more common (77 per cent of cases) before the age of 30. There was a striking difference between the mortality rates for towns (5.71 per cent) and for the county (15.4 per cent). The maternal mortality rate for this series was 9.84 per cent. This figure was The fetal mortality rate, including neonatal doubled in illegitimate pregnancies. loss, was 39.34 per cent. F. L. ADAIR AND JOHN A. HAUGEN. McKelvey, John L.: Remote Vascular Lesions of the Toxemias of Pregnancy Their Clinical Significance, The Journal Lancet 51: 35, 1941.
and
The author gives consideration to the role of pregnancy in the production of arteriosclerosis and points out that pregnancy always advances the lesion. In some cases pregnancy may produce a speedy progression of the disease with ultimate destruction. Of all the known exacerbating agents in hypertension, pregnancy is the most certain and severe. Not only does the pregnancy affect the arteriosclerosis but the pregnancy may be prejudiced by the toxemia, the major effect lying in the production of the condition known as ablatio placentae. It is felt that the