[Experience with preoperative preventive care in obstetrics and gynecology]. / Nostra esperienza sulla profilassi pre-operatoria in ostetricia e ginecologia.

The clinical behaviour and post-operative course of 60 patients who had undergone obstetrics or gynaecological surgery is compared. In 30 cases (20 obstetric and 10 gynaecological), antibiotic prophylaxis took the form of a single i.m. injection of 600 mg of lincomycin and 80 mg of gentamycin, 30 minutes before the operation. In the remaining 30 cases (20 obstetric, 10 gynacological), the antibiotic cover was administered postoperatively by i.v. injection of doxicyclin (100 mg every 12 hours for 3 days and 100 mg every 12 hours per os for a further 2 days). From a comparison of the 2 groups, and keeping obstetric and gynaecological cases separate, it is concluded that preoperative antibiotic prophylaxis is comparable in its results to post-operative antibiotic cover. Postoperative haematochemical tests were also done and, as has been reported, showed no significant alterations from the tests administered preoperatively, thus confirming the high tolerance of the drugs in question in the above-stated doses. No cochleovestibular disturbances were encountered nor were drug-resistant bacteriological strains. The efficacy of this prophylactic treatment is confirmed and though comparable in results to the alternative postoperative types is indubitably advantageous both in the lower cost to the community and the short duration of the treatment itself.

[Experience acquired in application of Law No. 194 for a period of 18 months]. / Nostre considerazioni sulla esperienza maturata dopo circa un anno e mezzo di applicazione della legge n. 194.

PIP: After the promulgation of law 194, legalizing abortion in Italy, 455 pregnancy terminations were done at the Hospital of Saluzzo. In 98% of cases the technique used was dilatation and curettage under general anesthesia; most patients were hospitalized for 2 days; there was 1 case of uterine perforation, 2 cases of hemorrhage, and 4 cases of fever. Almost half of the patients came from other provinces, over 50% were in the age group 26-36, 78.72% were married, 53.19% were housewives, and 33.68% had 2 children. About 53.19% had elementary school education only, and about 28.01% were in the 8th week of gestation. Most requests for abortion were for economic reasons; 21.03% were because of contraceptive failure. The most important and striking information from this study is the lack of contraceptive information on the part of most patients; information on family planning is an absolute necessity to safeguard a woman's health, and should be made available to all women.^ieng