this proportion will continue to increase. Recent papers on pregnancy and labour in this group of women have emphasized the higher incidence of anaemia, pre-eclampsia, premature and prolonged labour and puerperal pyrexia, when compared with older primigravidae. Additionally, cephalo-pelvic disproportion was said to occur commonly and to be responsible for a high operative delivery rate.1,4i 68>...

inter labial space, with concavity upwards, thus getting a little shelf of mucous membrane'below the urethra to divert escaping urine. By blunt dissection a free cellular space was readily created between the bladder and the rectum to the depth of five inches. This was temporarily packed with sterile gauze to check oozing. Thiersch skin grafts were then cut from the thigh sufficiently large to ...

is not recommended apart from a few patients in whom radical surgery is recommended. Various clinical trials are described-the use of radium only or combined with deep X-ray therapy either before or after the insertion of the radium, etc. One read with surprise that the cure rate is no better than in 1932. The better figures reported are due to the patients receiving treatment earlier. The revi...

then follows an able section dealing with the subject of embriology. The obstetric teaching is sound and practical and cannot fail to be appreciated by students and post-graduates for whom the book is written. We would wish that further space and more mention had been given to the subject of the toxaemias of pregnancy, for the importance of the work done by Swayne, Williams and hosts of others,...

Obstetricians must become comfortable addressing the ethical issues involved in clinical obstetrics and therefore must have an understanding of the key elements of clinical medical ethics. Balancing the principles of medical ethics can guide clinicians toward solutions to ethical dilemmas encountered in the care of pregnant women. The purpose of this article is to review the ethical foundations...