on
the malarial influence in abortion and steriIn my practice I have had the following
lity.
cases:?
Confinements at term.
England
...
...
of South Africa where malaria is unknown Unhealthy parts of Africa Florida India
Abortion*.
56
2
35 40 30 60
2 20 22 28
Healthy parts
...
...
...
...
???
a large proportion of these cases, though living in malarious districts, did not abort at times of an attack of fever, and in fact in very many cases malaria only showed itself in the habit of abortion. I have also noted that a very much larger proportion of women are sterile in malarial districts than in others, and that if they reside many years this sterility becomes permanent, whereas, if they leave before too long a time has elapsed, they bear children. Of course, in thia latter class I do not include those who, miscarrying in malarial districts, bear children in non-malarial climates Perhaps, as this paper has to be short, the quoting of two typical cases will be sufficient. 1 would like the experience of others in malarial districts on this subject, as I think its importance is not sufficiently impressed. Mrs. G. had frequent miscarriages in the She was constantly in malarious plains. districts. She was treated by various surgical and medical measures, including scraping out the uterus both in India and London. On her return to a malarious district, however, she invariably miscarried?generally in the third month. I saw her early in her fifteenth pregnancy (after ten following miscarriages in the plains), and advised her to come at once to the hills and stop there, giving her a tonic of the citrate of iron quinine and strychnine, and enjoining strict recumbency for ten days at a time when her period would have been due if not pregnant. She went safely to term. Mrs. H. had livd for years in a malarious district and had never been pregnant. The first year on coming permanently to the hills both husband and wife suffered much from fever, but in the second year both were in good health, and Mrs. H. became pregnant and went safely to term. These are only two instances of
And
MALARIAL INFLUENCE IN ABORTION AND STERILITY.t By Arthur John Wbathkbly, m r.c.s.e., l r.c.p., Lond.
Civil Medical Officer, Kurseong.
From my
India, I do f
experience
not think
in
and is laid
Africa, Florida,
sufficient
stress
Medical Congress, Calcutta Dec Read at the Indian
,
1S91.
very many. The influence of malaria on abortion and temporary sterility is still more marked in the very deadty malarious climate of Florida where I saw 22 cases of abortion to 30 confinement at term, and 10 cases of temporary or permanent sterility in a period of two years in a very small
district.
In a malarious strip of coast South Africa sheep and cattle
country
in East
constantly abort, 11
66
INDIAN MEDICAL GAZETTE.
and in fact the natives have recognised this so well that they keep their breeding stock inland and only send their stock into this strip of country to fatten. In this country there were no Europeans, but abortions were frethe native woman, though I among quent could get no figures as to the proportion. A large number of women who have been in malarious countries, even if they do not abort, suffer very much more when pregnant at the time when their period would have come on than is common with women who have not been in a malarious country and require very strict precautions as to recumbency, etc., at such times. In such cases I have found that giving quinine rather than tend to bring about abortions certainly tends to ward it off.
Though my experience has extended not very many years, it embraces malaria in very different climates, but in all with the same effect in bringing about abortion and sterility, and proves a danger in the former case, which I think is not sufficiently recognised and guarded against.
[Fkb.
1895.
the malarial influence in abortion and steriIn my practice I have had the following
lity.
cases:?
Confinements at term.
England
...
...
of South Africa where malaria is unknown Unhealthy parts of Africa Florida India
Abortion*.
56
2
35 40 30 60
2 20 22 28
Healthy parts
...
...
...
...
???
a large proportion of these cases, though living in malarious districts, did not abort at times of an attack of fever, and in fact in very many cases malaria only showed itself in the habit of abortion. I have also noted that a very much larger proportion of women are sterile in malarial districts than in others, and that if they reside many years this sterility becomes permanent, whereas, if they leave before too long a time has elapsed, they bear children. Of course, in thia latter class I do not include those who, miscarrying in malarial districts, bear children in non-malarial climates Perhaps, as this paper has to be short, the quoting of two typical cases will be sufficient. 1 would like the experience of others in malarial districts on this subject, as I think its importance is not sufficiently impressed. Mrs. G. had frequent miscarriages in the She was constantly in malarious plains. districts. She was treated by various surgical and medical measures, including scraping out the uterus both in India and London. On her return to a malarious district, however, she invariably miscarried?generally in the third month. I saw her early in her fifteenth pregnancy (after ten following miscarriages in the plains), and advised her to come at once to the hills and stop there, giving her a tonic of the citrate of iron quinine and strychnine, and enjoining strict recumbency for ten days at a time when her period would have been due if not pregnant. She went safely to term. Mrs. H. had livd for years in a malarious district and had never been pregnant. The first year on coming permanently to the hills both husband and wife suffered much from fever, but in the second year both were in good health, and Mrs. H. became pregnant and went safely to term. These are only two instances of
And
MALARIAL INFLUENCE IN ABORTION AND STERILITY.t By Arthur John Wbathkbly, m r.c.s.e., l r.c.p., Lond.
Civil Medical Officer, Kurseong.
From my
India, I do f
experience
not think
in
and is laid
Africa, Florida,
sufficient
stress
Medical Congress, Calcutta Dec Read at the Indian
,
1S91.
very many. The influence of malaria on abortion and temporary sterility is still more marked in the very deadty malarious climate of Florida where I saw 22 cases of abortion to 30 confinement at term, and 10 cases of temporary or permanent sterility in a period of two years in a very small
district.
In a malarious strip of coast South Africa sheep and cattle
country
in East
constantly abort, 11
66
INDIAN MEDICAL GAZETTE.
and in fact the natives have recognised this so well that they keep their breeding stock inland and only send their stock into this strip of country to fatten. In this country there were no Europeans, but abortions were frethe native woman, though I among quent could get no figures as to the proportion. A large number of women who have been in malarious countries, even if they do not abort, suffer very much more when pregnant at the time when their period would have come on than is common with women who have not been in a malarious country and require very strict precautions as to recumbency, etc., at such times. In such cases I have found that giving quinine rather than tend to bring about abortions certainly tends to ward it off.
Though my experience has extended not very many years, it embraces malaria in very different climates, but in all with the same effect in bringing about abortion and sterility, and proves a danger in the former case, which I think is not sufficiently recognised and guarded against.
[Fkb.
1895.
