Abstract
ABSTRACT The influence of endemic goiter on the course of pregnancy, labour and birth is still unsettled, the informations in the literature being scanty and incomplete. Investigation into the course of pregnancy, labour and the puerperium on 2101 pregnant women from 4 different areas with different incidence of endemic goiter shows conclusively that endemic goiter has an unfavourable influence on the course of pregnancy, birth and the puerperium. The following conclusions are drawn: Endemic goiter brings about a greater incidence of complications in pregnancy (imminent abortions, early and later toxaemia of pregnancy), an increase in the number of prolonged labours and a decrease in the number of shortened labours, a higher incidence of birth complications (retention of placenta, retention of placental parts, postpartum uterine atony, lacerations of the soft genital tissues) and an increase in the complications of the puerperium.
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