Indications For Termination Of Pregnancy Research Articles

Indications for Termination of Pregnancy

Indications for Termination of Pregnancy

Indications for Termination of Pregnancy: Report by B.M.A. Committee on Therapeutic Abortion

Indications for Termination of Pregnancy: Report by B.M.A. Committee on Therapeutic Abortion

Pregnancy associated with multiple sclerosis: A report of three cases

Three cases of multiple sclerosis associated with pregnancy are reported. Two pregnancies were carried successfully to term and one was terminated in the first trimester without evidence of a change in the course of the disease.The relationship of pregnancy to exacerbations in multiple sclerosis is still vague and requires further study. Each patient should be treated individually. Her age, parity, desire for children, and the stage and severity of the disease should be considered. Women in whom the disease is in remission will probably do well in pregnancy. If gestation takes place during an acute exacerbation, however, the prognosis may be somewhat less favorable.The management of multiple sclerosis in pregnancy should be supportive and involve special consideration of the common complications such as hyperemesis, miscarriage, blood loss, and renal infection. The occurrence of these complications is said to aggravate the disease further and in some cases may precipitate acute exacerbations.While vaginal delivery is desirable, cesarean section may, in some cases, be the most conservative. The method of delivery should depend solely upon the obstetrical indications.At present there appears to be no clear-cut indication for termination of pregnancy when it is associated with multiple sclerosis.Since there is a familial tendency in this disease, a prolonged study of the female infant would be of interest.

Indications for termination of pregnancy in cardio-renal diseases, according to prof. N. Jagic (Ärztliche Praxis, No. 5, 1929)

N. Jagic (rztliche Praxis, No. 5, 1929), are the following cases: decompensation, not inferior to therapy, exacerbation of endocarditis; insufficiency of the mitral valve with symptoms of insufficiency of the heart muscle; arteriosclerotic and luetic vascular changes with highly developed cardiac hypertrophy with hypertension; weakness of the right heart due to wrinkling processes of the lungs and pleura, emphysema of the lungs and kyphoscoliosis; hyperthyroidism and Basedow's disease with enlargement of the heart developing during pregnancy; congenital heart defects with intense cyanosis; cases with decompensation that occurred during previous pregnancies; advanced myocardial diseases with dilatation and heart hypertrophy; heart block; sclerotic and luetic narrowing of the coronary vessels; undoubted cases of mitral stenosis; luetic mesaortitis with significant enlargement of the aorta; chronic nephritis, giving symptoms of a shriveled kidney; acute glomerulo-nephritis with edema and high blood pressure.

Treatment of tuberculosis in pregnant and postpartum women

The author believes that the obstetrician should not play the role of a mere technical performer when deciding on indications for termination of pregnancy in tuberculosis patients. Experience has shown that a significant number of women who are referred for termination of pregnancy because of tuberculosis are found to be free of tuberculosis under close observation.