John R. Wolff

The emotional reaction to a stillbirth

Abstract An interdisciplinary team studied 50 women, who lost a baby at or shortly after birth, by means of a series of interviews in the immediate postpartum period. Forty were followed over a 3 year span to determine the emotional reaction to the loss and the mechanism of resolution. All reacted with a typical grief reaction. None developed other significant psychiatric difficulties. In 50 per cent, the resolution was in becoming pregnant again. The remainder used other plans, such as returning to or beginning employment, going to school, or intensifying household and family activities. However, a large number were adamant about not having another baby, and half of these resorted to sterilization. Hospital procedures, patient accommodations, and the attitude of the personnel following the loss played a role in the comfort of the patients but did not seem to affect the eventual outcome.

Therapeutic abortion: Attitudes of medical personnel leading to complications in patient care

Abstract This study of the records of 50 consecutive patients undergoing a therapeutic abortion when compared with a control group reveals significant differences in attitudes of the staff that affect patient care. Persistent themes are uneasiness and shame concerning personal participation, which led to avoidance by both attending staff and residents with a resultant inadequate experience. Information obtained from a series of seminars points to the conclusion that concern with the issue of causing a death remains paramount. Polarization and resolution of these feelings are fundamental and necessary if the demands of society for more abortions are to be met.

Severe lacerations of the uterus following a criminal abortion

Abstract A case is presented of a severely lacerated uterus following a criminal abortion with unusual preadmission circumstances.