Volume 31, January-June 1968
Journal of the American College
of Obstetricians and Gynecologists
S. Leon Israel, M.D., Philadelphia, Editor
Ralph A. Reis, M.D., Chicago, Emeritus Editor
EDITORIAL BOARD
Clayton T. Beecham, M.D., Danville, Pa.
Richard L. Burt, M.D., Winston-Salem, N. C.
Charles A. Hunter, Jr., M.D., Seattle, Wash.
John Figgis Jewett, M.D., Boston, Mass.
Robert A. H. Kinch, M.D., London, Ont.
Richard F. Mattingly, M.D., Milwaukee, Wis.
J. George Moore, M.D., New York, N.Y.
Jack A. Pritchard, M.pD., Dallas, Tex.
Published Monthly by Hoeber Medical Division « Harper & Row, New York
Copyright © 1968 by
THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS
All rights reserved. For information address (
HOEBER MEDICAL DIVISION © HARPER & ROW, PUBLISHERS 49 East 33rd Street, New York, N. Y. 10016
Printed in the United States of America
Contents
JANUARY Megaloblastic Anemia of Pregnancy
ASAD U, KHAN, RAYMOND W. MONTO, and LEE B. STEVENSON
Villous Immaturity in the Term Placenta H. FOX
Virilizing Lipoid Cell Tumor of the Ovary: Report of 2 cases, 1 with uterine hypertrophy KARL R. MEYERS, LIVIA S. WAN, RONALD J. BOLOGNESE, and HOWARD BALIN Carcinosarcoma and Mixed Mesodermal Tumor of the Ovary: A clinicopathologic analy-
sis of 9 cases BERNARD CZERNOBILSKY and GARY C. LA BARRE Proliferative Stromatosis of the Uterus with Pulmonary Metastases: Remission following
treatment with a long-acting synthetic progestin: A case report DOMINIC PELLILLO Meigs-like Syndrome Secondary to Krukenberg’s Tumor
WILLIAM E. BRENNER and ROGER B. SCOTT Theca Cell Tumor Associated with Pregnancy: Report of a case
A. TALERMAN and E. M. JAMES Simultaneous Extra- and Intrauterine Pregnancy: Report of a case
ANN B. BARNES, JOHN W. GROVER, and S. SCOTT SUDDUTH XO/XX/XY Mosaicism in a Female with Turner’s Syndrome
THOMAS S. MC CONNELL, CALVIN N. LADNER, and MARIA PFOERTNER Respiratory Effects of Alphaprodine in Man
WILLIAM H. FORREST, JR., and J. WELDON BELLVILLE Eclampsia Superimposed on Renal Scleroderma: A Rare Cause of Maternal and Fetal
Mortality ROBERT E. FEAR
Malignant Melanoma of the Female Urethra Treated by Cryosurgery with Radical Vul- vectomy and Anterior Exenteration: Report of a case
DONALD R. OSTERGARD and DUANE E. TOWNSEND Diabetes Insipidus Associated with Pregnancy: Report of a case
CHARLES O. STEPHENS and OSCAR J. HAYES Postoperative Adnexal Infections
WILLIAM J, LEDGER, COLIN CAMPBELL, and J. ROBERT WILLSON Aortoiliac Compression by Uterus Containing Hydrocephalic Fetus
J. BIENIARZ, L. GULIN, I. C. ARNT, T. HASHIMOTO, V. SAGUIER, and R. CALDEYRO-BARCIA Improved Fetal Salvage after Metroplasty
VINCENT J. CAPRARO, JUSTIN T. CHUANG, and CLYDE L. RANDALL Primary Omental Pregnancy: 2 cases of primary peritoneal pregnancy
MARY ANNA FRIEDERICH Induction of Ovulation by Combined Administration of Human Menopausal Gonado-
tropins and Clomiphene Citrate E. RABAU, S. MASHIACH, D. M. SERR, and H. MELMED Levels of Plasma Human Growth Hormone During Administration of Human Meno-
pausal Gonadotropin and Human Chorionic Gonadotropin JOHN A. BOARD Continuous Tablet Therapy for Oral Contraception
PHILIP J. DI SAIA, CLARENCE D. DAVIS, and BEN Z. TABER Intrauterine Hypothermia in the Management of Uterine Hemorrhage: Report of 2 cases
LAWRENCE L. TRETBAR and HOWARD P. TAYLOR Nonpuerperal Vaginitis Emphysematosa
JOSEPH A. DAINO, RENE J. GIRERD, and VICTOR TCHERTKOFF
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CONTENTS
Determining the Location of Intrauterine Devices with the Beolocator
SUWANEE RIMDUSIT and DANIEL R. MISHELL, JR.
Instrument & Method: Postpartum IUD Insertion with a Modified Lippes Inserter
W. G. POVEY Views and Reviews: Effects of Obstetric Hospitalization Policy upon Obstetric Mortality:
A Survey of 4133 Hospitals JOHN I. BREWER
Editorial: Obstetricians Should Learn the Technic of Amniocentesis HENRY A. THIEDE Book Reviews
FEBRUARY Organ Culture of Trophoblast
ALBERT B. GERBIE, HARVEY R. HATHAWAY, aiid JOHN I. BREWER Gonadal Hypoplasia Associated with Ring Chromosomes: Report of 2 cases
J. LASZLO, G. GYGRY, and G. SZILAGYI Bleeding from the Uterus Caused by Chloroma: Report of a case CHARLES E. HARTFORD Lymphocyte Transformation in Mixed Wife-Husband Leukocyte Cultures in Abortions
and in Hydatidiform Moles I. HALBRECHT and L. KOMLOS
Comparative Morphometry of the Human Placenta at High Altitude and at Sea Level:
I. The shape of the placenta
ALVARO CHABES, JOSE PEREDA, LYON HYAMS, NICOLAS BARRIENTOS,
JAIME PEREZ, LUIS CAMPOS, ADOLFO MONROE, and AMERICO MAYORGA Hypertriglyceridemia During Treatment with Estrogen and Oral Contraceptives: An
alteration in hepatic function?
HERBERT GERSHBERG, MILDRED HULSE, and ZENAIDA JAVIER Reversible “Cancer” and the Contraceptive Pill: Report of a case
JOHN GRAHAM, RUTH GRAHAM, and KOJI HIRABAYASHI The Diagnosis of Cervical Cancer During Pregnancy
MICHAEL R. SMITH, DAVID C. FIGGE, and JAMES L. BENNINGTON Decreasing the Morbidity of Vaginal Hysterectomy HENRI E. CHEHAB Septic Shock Following Vaginal Hysterectomy MYRON GORDON and ARTHUR HOROWITZ Ureteral Carcinoma as a Gynecologic Problem: Report of a case
FRANK C, KING, HUGH R. K. BARBER, and ALEXANDER BRUNSCHWIG Ciliated Epithelia of the Human Uterine Mucosa EDMUND F. SCHUELLER Maternal Risk in Abruption ROBERT G. BRAME, GUY M. HARBERT, JR., H. S. MC GAUGHEY, JR., and W. N. THORNTON, JR.
Gestational Diabetes SAMUEL G. SMITH and WILLIAM H. SCRAGG, JR.
Volume Changes in Amniotic Fluid Following Intra-amniotic Saline Injection
R. C. GOODLIN, A. J. KRESCH, and W. H. NORTHWAY LDH Activity in Patients with Ovarian Tumors
KRYSTYNA WIDY-KIERSKA and IRENEUSZ ROSZKOWSKI Lymphography with Chlorophyll: Effects on Pelvic Lymphadenectomy and Lymph
Nodes H. E. AVERETTE and R. RAVEL
Iatrogenic Arteriovenous Sinus of a Uterine Artery and Vein: Report of a case
LEONARD R. HOWARD Gonorrhea During Pregnancy GARY W. KRAUS and SAMUEL S. C. YEN Colon Hernia Through a Hiatus in the Broad Ligament: Report of a case and review of
the literature SANFORD E. RABUSHKA
Gynecologic Manifestations of Reticulum Cell Sarcoma
FAWZI A. ILIYA, FRANCO M. MUGGIA, JAMES A. O'LEARY, and THEODORE M. KING
Surgically Induced Urinary Incontinence GEORGE W. MORLEY
Successful Pregnancy with McGovern Aortic Prosthesis and Long-Term Heparin Ther- apy: Report of a case W. N. OTTERSON, GEORGE MC GRANAHAN, and M. V. R. FREEMAN
132 136 138 146 149
151 157 166 173
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CONTENTS
The Quality of Reproduction in an Urban Indigent Population: I. Birth weight: The differences between mothers of low-weight and of term-size infants
MARVIN ROSEN, ELINOR F. DOWNS, F. DONALD NAPOLITANI, and DONALD P, SWARTZ Views and Reviews: Low Birth Weight Infants JAN SCHNEIDER Editorial: Some Aspects of Carcinoma In Situ of the Uterine Cervix Vv. N. DEMIN Instrument & Method: A New Device for Endocervical Aspiration
DONALD H. KARIHER and THOMAS W. SMITH Letters
Book Reviews
MARCH
Laparoscopy: A Valuable Aid in Gynecologic Diagnosis ROBERT E. FEAR
Culdoscopy vs. Peritoneoscopy MELVIN R. COHEN
Critical Illnesses and Deaths Associated with Intrauterine Devices ROGER B. SCOTT Vasa Previa, Antepartum Diagnosis: Report of a case
CHARLES W. CURL and WAYNE L. JOHNSON Coexisting Metastatic Choriocarcinoma and Normal Pregnancy: Therapy during gesta-
tion with maternal remission and fetal survival
JAMES R, HUTCHISON, EDWIN P. PETERSON, and EDWARD A. ZIMMERMAN Surgical Excision of Pelvic Arteriovenous Fistula Following Successful Treatment of
Chorionepithelioma ROBERT W. LEIBOLD, F. J. KEEFER, and J. L. CURRY Critical Review of 160 Clomiphene-related Pregnancies
ALVIN F. GOLDFARB, ANTONIO MORALES, ABRAHAM E. RAKOFF, and PETER PROTOS Influence of Maternal Estrogen on Fetal Bone Development in the Rabbit
RAJA W. ABDUL-KARIM, JOHN T. PRIOR, and ROBERT E. L. NESBITT, JR.
Sedimentation Rates of Vaginal Cells: A simple screening technic for cervical cancer RUTH M. GRAHAM, MICHAEL M. GRAHAM, and JOHN B. GRAHAM Unilateral Tubal Triplet Pregnancy: Report of a case
DONALD A. FORBES and AGOSTINO NATALE Circular Prolapse of the Urethra in Children: A Cause of Vaginal Bleeding
JOHN M. ESPOSITO Norgestrel and Ethynyl Esiradiol: A new low-dosage oral agent for fertility control
EDRIS RICE-WRAY, CRISTINA AVILA, and JUVENAL GUTIERREZ Biliary Stasis after Mestranol-Norethindrone Ingestion: Report of a case
G. H. SABEL and R. F. KIRK Adrenal-Pituitary Responsiveness During Therapy with an Oral Contraceptive
JORGE H. MESTMAN, GAIL V. ANDERSON, and DON H. NELSON The Oversuppression Syndrome
BENSON J. HOROWITZ, MARK SOLOMKIN, and STANLEY W. EDELSTEIN Spectrophotometric,Analysis of Amniotic Fluid in Rh-Negative Women
WILLIAM POMERANCE, ARNOLD MOLTZ, JERZY J. BIEZENSKI, and LEWIS WOLF Amniotic Fluid pH as an Indicator of Fetal Asphyxia
STEPHEN CORSON ard RONALD J. BOLOGNESE Air Embolism: A discussion of maternal mortality with a report of 1 survivor
MARVIN D. SILVER and TOMMY N. EVANS Peivic Congestion: Some further considerations
HOWARD J. OSOFSKY and SEYMOUR FISHER Symptomatic Angiomyolipoma Associated with Pregnancy: Report of a case
ROBERT C. DRIPS, GEORGE J. TAYLOR III, MARTIN J. VALASKE, and MALCOLM L. COWEN
276 283 288 293 295 296
297 310 322 328
331 337
342 346 354 360 363 368 375 378 387
390 397 403 406
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CONTENTS
Relationship of Weight Gain During Pregnancy to Birth Weight and Infant Growth a and Development in the First Year of Life: A report from the collaborative study of cerebral palsy
JUDITH E, SINGER, MILTON WESTPHAL, and KENNETH NISWANDER Isoenzyme Patterns of Serum Alkaline Phosphatase in
Abnormal Uterine Bleeding BERNARD LEVINE, DAVID LIPSCHUTZ, JOEL BERNSTEIN, and CYNTHIA NEWMAN Instrument & Method: A New Instrument for Salpingostomy RYUJI YAMAGUCHI Views and Reviews: To Cone or Not To Cone—The Cervix
WILLIAM P. SINGLETON and FELIX RUTLEDGE After Office Hours: Some Social-Psychologic Issues in Improving Obstetric
Care for the Poor HOWARD J. OSOFSKY
Book Reviews
APRIL
Infectious Hepatitis and Pregnancy IVAN A. D’CRUZ, S. G. BALANI, and L. S. IYER Ophthalmologic Findings with Oral Contraceptives
ELIZABETH B. CONNELL arid CHARLES D. KELMAN Maternal Osteogenesis Imperfecta BRUCE K. YOUNG and FRED GORSTEIN Massive Intraperitoneal Hemorrhage from a Corpus Luteum Hematoma in Women
Taking Anticoagulants: Report of 2 cases ROBERT M. DACUS III Comparison of Standard Oral and Rapid Intravenous Glucose Tolerance Tests
in Pregnancy DUDLEY P. BAKER, JAMES R. HUTCHISON, and DANIEL L. VAUGHN Effect of an Ovulatory Suppressant on Glucose Tolerance and Insulin Secretion
F, XAVIER PI-SUNYER and STUART OSTER Endometrium with Pattern of Mesonephroma: Report of a case ROBERT E. FECHNER Erythrocyte Hemolysis and Fibrination-Fibrinolysis During Retained Abruptio
Placentae with Hypovolemia and Transient Anuria CHARLES L. SCHNEIDER Abruptio Placentae Early in Pregnancy S. L. NAOR and M. RIKOVER Acute Pancreatitis in Pregnancy: Report of 2 cases with maternal survival
ROBERT N. RABKIN Paget’s Disease of the Vulva: Report of 10 cases
LEOPOLD G. KOSS, SAKIKO LADINSKY, and ALFRED BROCKUNIER, JR.
Maternal Urinary Estriol Excretion after Dehydroepiandrosterone-Sulfate Infusion and Adrenal Stimulation and Suppression
ANTONIO SCOMMEGNA, BERTRAND R. NEDOSS, and SATI C. CHATTORAJ Multipolar Registration of the Fetal Electrocardiogram: Technic and Comparison
with Bipolar Method J. L. M. GIELEN, A. L. C. SCHMIDT, and P. H. MEGENS Estimation of Red Cell Volume Requirements for Intrauterine Transfusion:
Comparison of calculated and actual results in fetuses given 19 transfusions
VICTOR HALITSKY and BURTON A. KRUMHOLZ Clinical Significance of Placental Hemangiomas
LEON A. ASADOURIAN and HERBERT B. TAYLOR Editorial: The Story of Oral Contraceptives
HENRY S. ACKEN, JR., ROBERT C. ARRANTS, ALVIN F. GOLDFARB, JOHN S. LYLE, and FRANCIS B. O'BRIEN Views and Reviews: Dysgerminoma: A Clinical Review
JERRY A. WIDER and JAMES A. O'LEARY After Office Hours: The Making of a Woman's Hospital HOWARD C. TAYLOR, JR.
Abstracts: Reports on Current Investigation Letters
417
424 429 430 437 444
449 456 461 471 475 482 485 491 505 508 513
526 534
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556 560 566 575
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MAY The Renal Pathology of Toxemia of Pregnancy
ALBERT ALTCHEK, NILE L. ALBRIGHT, and SHELDON C. SOMMERS Enzymes of Glycogen Metabolism in the Squamous Epithelium of the Cervix:
A histochemical study ROBERT FIENBERG and RICHARD B. COHEN Unusual Tumors of the Female Urethra JAY Y. GILLENWATER and H. M. BURROS Glomerular Filtration Rate in Normal Pregnancy and Early Postpartum Period
M. N. EL-MAHALLAWI, D. SEIF EL-DIN, M. MAHRAN, M. S. SABOUR, and H. E. FADEL Fertility Inhibition by an Injectable Progestogen Acting for 3 Months: A clinical
survey of 130 fertile women treated with m@rethisterone enanthate
JUAN ZANARTU and CARLOS NAVARRO Conception Control by a Single Monthly Injection
ARTURO ESQUIVEL and LEONARD E. LAUFE Norgestrel, A Low Dose, Oral Progestogen for Fertility Control: Supplementary report
MAXWELL ROLAND, MAX FRIEDMAN, and RALPH J. HESSEKIEL Advanced Intraligamentary Pregnancy: Report of a case with survey to date
HARRY K. ZIEL, FREDERICK S. MIYAZAKI, T. HART BAKER, and JERALD D. WHITE Primary Pelvic Peritoneal Pregnancy
EDUARD C. FRIEDRICH, JR. and CHARLES A. RANKIN, JR.
Granulosa-Theca Cell Tumors: A clinical review of 102 patients
ALLEN J. DINNERSTEIN and JAMES A. O'LEARY Hyperemesis Gravidarum: I. Evidence of hepatic dysfunction
REUBEN H. ADAMS, JUDY GORDON, and BURTON COMBES Hyperemesis Gravidarum: II. Alterations in sulfobromophthalein sodium-removal
mechanisms from blood BURTON COMBES, REUBEN H. ADAMS, JUDY GORDON, VICTOR TRAMMELL, and HISAO SHIBATA Cesarean Section for Fetal Distress IAN G. L. VAN PRAAGH and HAROLD M. M. TOVELL Transplacental Inoculation of Fatal Herpes Simplex in the Newborn: Report of 2 cases
RAYMOND A. GAGNON Recurrent Benign Intracranial Hypertension (Pseudotumor Cerebri) During Pregnancy
MARTA ELIAN, N. BEN-TOVIM, M. BECHAR, and B. BORNSTEIN Sarcoma Botryoides of the Cervix: Treated by vaginal hysterectomy and subtotal
vaginectomy H. OLIVER WILLIAMSON and FORDE A. MC IVER
Benign Masses of Bartholin’s Gland: Solid ademonas, ademonas with cyst, and Bartholin’s gland with varices and thrombosis or cavernous hemangioma
J. H. SMITH FOUSHEE, WILLIAM J, REEVES, and JAMES A. MC COOL Endometrial Carcinoma in Young Women: A clinical profile EDWIN P. PETERSON Aspiration Biopsy of Bone: Use in the management of metastatic gynecologic malignancy
ALFRED S. LLORENS and RUTH M. GRAHAM Perinatal Mortality and Amnionitis in a General Hospital Population
DANNY M. CLARK and GAIL V. ANDERSON Monilial Chorionitis Associated with an Intrauterine Contraceptive Device
ABRAHAM I. SCHWEID and G. BRUCE HOPKINS Arteriovenous Fistula Following Pelvic Operations
GEORGE W. MORLEY and S. MARTIN LINDENAUER Localization of Fibrinolytic Activity in the Rat Oviduct
KONSTANTINOS TYMPANIDIS and TAGE ASTRUP Pessary Treatment of the Incompetent Cervical Os MEYER VITSKY Instrument & Method: High Puncture of the Fetal Membranes W. L. G. QUINLIVAN A Curved Modification of the lowa Trumpet LEE HUBERTY and F. J. HOFMEISTER
595 608 617
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665 674 682 685 689
695 702 708 714 719 722 727 732 734 736
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CONTENTS
Views and Reviews: Radical Vulvectomy for Carcinoma of the Vulva
THOMAS E. HOUSE and LAWRENCE L. HESTER, JP..
Letter Book Reviews
JUNE
Time Necessary for Conversion of Normal to Dysplastic Cervical Epithelium
CLIFFORD H. FOX Shallow Conization of the Cervix
WILLIAM E, CRISP, HARRY SHALAUTA, and WARREN A. BENNETT Comparative Ultrastructure of the Mammalian Amnion !
RALPH M. WYNN end GARY L. FRENCH Tuberculous Meningitis in Pregnant and Puerperal Women
IVAN A. D’CRUZ and ARVIND C. DANDEKAR Coexisting Brenner Tumor and Struma Ovari: (Mature Gonadoblastoma) :
Report of a case HARVEY Z. KLEIN, SHERMAN H. STRAUSS, and ALLEN M. UNGER Primary Cesarean Section in the Grand Multipara SIDNEY A, JONES and ERNEST W. LOWE Effects of Pregnancy on the Diameter of the Uterine Arteries in the Rabbit:
Pelvic arteriography J. C. SMITH, W. A. W. WALTERS, and JOAN E. SPONG Peritoneal Respuiise to Polyethylene Foreign Bodies
ROBERT ECHENBERG and WILLIAM J. LEDGER Arteriovenous Fistulas of the Female Pelvis: A diagnostic problem
DAVID G. DECKER, CHARLES R. FISH, and JOHN L. JUERGENS Suture of the Uterine Rupture OSCAR AGUERO and SAUL KIZER Normal Pregnancy in a Patient with Multiple Myeloma
FRED ROSNER, BERNADETTE C. SOONG, MENDEL KRIM, and SHERWOOD P. MILLER Three New Synthetic Progestins in the Treatment of Endometriosis
IONE A. KOURIDES and ROBERT W. KISTNER Amniocentesis of the Sensitized Rh-Negative Patient: A combined study in 2
community hospitals
JOSEPH J. PRICE, GERALD D. GUNSTER, and SAMUEL J. BRACKEN, JR.
Antepartum Hemorrhage: Analysis of 304 patients in a private institution
JAMES A. MC CULLOUGH, CREIGHTON L. EDWARDS, and WILLIAM P. DEVEREUX Antimicrobial Properties of the Endometrium
P. J. KOZINN, W. POMERANCE, L. CAROLINE, A. OKAS, and C, TASCHDJIAN Death from Septicemia Following Insertion of an Intrauterine Device:
Report of a case WILLIAM J. LEDGER and FRANK J. SCHRADER Angular Pregnancy: Report of a case THOMAS W. MC ELIN and ROBERT LA PATA Instrument & Method: Auto-Suture in Abdominal Hysterectomy ERIC KAHN Editorial: Arterial Physiology of the Human Female Pelvis R. CLAY BURCHELL After Office Hours: Whither IUD? The Present and Future of Intrauterine
Contraceptives CHARLES H. BIRNBERG and MICHAEL S, BURNHILL After Office Hours: A Modest Proposal for Preventing Choriocarcinoma
Among Innocent Mothers WILLIAM B. OBER
Letters Book Reviews Indexes
Authors
Subjects and Titles
