Motives and methods in population control

An inaugural lecture on population control given by Prof. Philpott at the University of Rhodesia

Management of Incomplete Abortion as an Outpatient Procedure

A CAJM article on abortion.Between 800 and 1,200 cases of abortion are seen annually at Harare Hospital, Salisbury. Prior to 1st February, 1969, all cases of incomplete abortion were routinely admitted to the gynecological ward for observation and further treatment. In 1967, for example, 533 cases of abortion were seen during the six-month period 1st February to 31st of July. Of these, 396 were classified as non-septic and 137 as septic. All 533 patients were hospitalized, the average duration of stay in hospital being four days

The use of lumbar epidural analgesia during the first stage of labour in high-risk pregnancies

The high-risk pregnancy is presented as a priority indication for epidural analgesia during labour. This would include cardiac disease, inefficient uterine action, with or without cephalopelvic disproportion, certain cases of antepartum haemorrhage, multiple pregnancy, breech presentation, pre-eclamptic toxaemia and all causes of suspected placental insufficiency. The intensive care necessary for the management of these patients is simplified when an epidural block is used and the built-in anaesthesia permits immediate recourse to operative interference when indicated. To ensure safety for mother and fetus, the importance of limiting this procedure to the hands of those who have received supervised training and proved their skill, and the need for meticulous attention to detail, are stressed.S. Afr. Med. J. o 48, 774 (1974)