Charles Edwin Galloway

A study of nembutal and scopolamine for the relief of pain in five hundred deliveries

AT THE Evanston Hospital during the past two years we have used nembutal and scopolamine for the relief of pain in the majority of the obstetric cases. During the time that these 500 cases used in this study were accumulating, we delivered 783 patients which means that we administered these drugs to 63.8 per cent. Two hundred and seventyfive were primiparas and 225 were multiparas. The two groups will be reported separately and then some of the totals will be givPn.

A study of 288 primiparas over the age of 35 compared with 300 primiparas under the age of 25

T HE obstetrician is called upon from time to time to assume the responsibility of a case of pregnancy when the woman is having her first baby late in her reproductive life. Does he assume an increased risk and, if so, what are the principal factors! This study was made in a private hospital with a closed staff where the majority of the cases are handled by a small group of trained men who do nothing but obstetrics and gynecology. The period of time during which these 288 primiparas, over 35 years of age, were delivered was about sixteen years. The 300 primiparas under the age of 25, used for comparison, were consecutive cases of the same character, but their delivery dates do not correspond to the same years. They were delivered by the same men, however, and during a shorter period of time.

Focal infections in pregnancy

Abstract 1. 1. This study of 843 pregnancies shows that 14.8 per cent of the patients had definitely infected teeth and about 4.27 per cent had tonsils which could be considered harboring foci of inection. 2. 2. The incidence of pyelitis in the entire group was 3.56 per cent, whereas, the incidence was 17.5 per cent where infected teeth were allowed to remain during the pregnancy. 3. 3. The incidence of hypertensive toxemia in the entire group was 3.32 per cent. In the patients with infected teeth it was 5 per cent. In patients with infected tonsils it was 7.6 per cent. 4. 4. The incidence of abortion was 5.6 per cent for the 843 cases. In patients with infected teeth not removed, 20 per cent aborted. In those patients with infected tonsils, 15.4 per cent aborted. 5. 5. The incidence of abortion which could be attributed to the removal of foci was 3.5 per cent for extraction of infected teeth and 4.3 per cent for removal of tonsils. These figures are lower than the incidence for the entire group.