[Social and individual responsibility in premature termination of pregnancy].
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Biomedical subjects
Publications and source records attributed to J Rothe.
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The following conclusions were derived from the data on obstetric and gynaecological and urologic morbidity and mortality caused by infection:--A law enacted in 1972, legalising abortion within the first twelve weeks of gestation, changed the proportion of legally induced abortions to all other types of abortion. As the law largely prevents illegally induced abortion, substantial decreases occured in the number of cases of postabortal sepsis and in the mortality from abortion.--In spite of a steady decline, pueral sepsis still accounts for a significant proportion of the maternal mortality. It occurred predominantly after Caesarean section.--Despite its relatively low current morbidity rate, the possible effect of puerperal mastitis should not be neglected.--The high incidence of urinary tract infections calls for wellbalanced, but effective preventive, diagnostic and therapeutic action.
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During the last years the analysis of the perinatal mortality with its casuistic and statistical aspect has gained importance as an instrument in organizing the health protection services for females. For further achievements in the ante-, intra- and postnatal care according to the social and scientific progress and to the needs of the people a sound knowledge of the morbidity structure is of great value. Relating to these points available data sources are analysed regarding their information contents and significance. Under the aspect of their prevalence the most important diseases during pregnancy are presented.
1. In the period 1969 to 1974 the average frequency of in-patient treatment of carcinoma in situ has more than doubled in the GDR according to the results of an analysis of the hospital case records. There is considerable variation between the different countries and districts. 2. Treatment of carcinoma in situ was provided in 95% of all gynaecological in-patient services in the GDR. 3. The application of a uniform nomenclature of carcinoma in situ based on the agreed concept of its characteristics as a defined intermediate stage in the development of a malignant process should become common practice in order to achieve better comparability.
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