Vol 11, No 3 (1897)

The question of raising the level of knowledge of midwives, especially those scattered across our vast fatherland, seems to be one of the most burning issues of public health.

Recently, two works have appeared in the Russian medical literature, treating about scooping or scraping as a method for producing a legitimate artificial miscarriage: part of the pr., I. Lvov), and part of the pr., A. A. Muratov). Both of these authors refer to an article by Dr. P. Puech, entitled: "Du Curettage comme méthode d'avortement artificiel", published in the August book of Annales de Gynécologie et d'obstétr. for 1895. Within the meaning of this reference, one may think that Puech was the first to recommend this method in print as an independent one and pointed out its advantages over all other methods practiced before to induce an artificial abortion. Lvov (1. p.), Says: “True, many other authors resorted to removing the fetal egg from the uterus with a sharp or blunt spoon, but they resorted to this method not on their own, but accidentally, as an auxiliary technique when it was impossible to remove fertile eggs in another way. "

Already in the first half of this century, attention was drawn to the extremely important and interesting fact that the size and shape of the pelvis of an adult woman are significantly different in individuals belonging to different races, peoples, tribes. — This phenomenon is especially important from the obstetric point of view, was subsequently confirmed by the works of numerous authors and is now considered a fact beyond any doubt.

That uterine fibroids, in general, do not reduce fertility and the possibility of conception, it was pointed out recently, especially by Hofmeier). It is known that in this case urgent birth is often possible in a natural way.

The named authors investigated the influence of labor and puerperal period on temperature, pulse and respiration.

Dr. Doran dwells on the question of tumors originating from particles of sequential tissue that are long retained in the uterus or F. tube.

Woman 31 years old; for the first time it was resolved by a boy 8 years ago; The 2nd pregnancy ended in premature birth at 7 months three years ago. From a young age, he suffers from prolapse of the left ovary and inflammation of the Fallopean tubes and ovaries.

There are currently 5 maternity hospitals in New York, which are open to obstetric students. In all 6 midwifery schools in New York, students are admitted to the exam upon presentation of proof that they have performed at least 6 births themselves.

Tuberculosis of the uterus, Fallopian tubes, and ovaries — very rare in children, so rare that D-r. S. remembers all these cases both clinical and postmortem. There are also very few of these drugs in museums. In Guy's Hospital, there are only 2 of them: one is the Fallopian tube, stretched by cheese-like masses, the other is the brain and lungs. Choffey reported one case of uterine tuberculosis in a 4-year-old girl who died of general tuberculosis; Silcock — in a 5-year-old girl, both in 1885, Dr Cheatle — at an autopsy of a 21-month-old girl, found pyosalpinx communicating with a purulent pelvic cavity, where there was pus near the drachm.

Prof. Ayers says that the generally accepted 1O% of mortality from caesar section in medical statistics does not really represent actual mortality; the latter, in his opinion, should be much more, up to 30%. In view of this, he publishes 3 cases that have remained so far unknown.

In contrast to the teachings of most German schools, which require a possible long wait for spontaneous, emergence of the placenta, the opposite direction prevails in America.

Dr. da-Costa, Noble. — Montgomery. Idem, in the Tresactions of the Section of Gynëc., College of phisicians of Philadelphia. - About the same. (Ibidem, p. 562-566).

For pain relief of labor in cases of convulsive and extremely painful attempts, I had to experience lubrication of the abdomen with a mixture of 1 part chloroform and 2-3 parts oi. olivarum. The results obtained are so good that I decide to publish them, although I have only three such observations. In the cases under consideration, I did this: with the indicated mixture of chloroform with ol. olivarum, the abdomen of the woman in labor was abundantly lubricated and a warming compress was immediately applied to it.