[Functional new uterus and new vagina in a complex form of cervico-isthmic and vaginal aplasia]. / Néo-utérus fonctionnel et néo-vagin dans une forme complexe d'aplasie cervico-isthmique et vaginale.

The authors report a case of surgical success in the treatment of a complex form of cervico-isthmial and vaginal aplasia very similar to the case reported by Klochkoff. They fused the two uterine cornua and made a new uterus which they joined to the new vagina that they had created using Bloch's method. The patient was able to menstruate regularly after the operation which achieved the desired result.

[Psychological attitudes of Algerian women to contraception (author's transl)]. / Psychologie de la femme algerienne devant les methodes contraceptives.

PIP: 300 women attending an obstetrics and gynecology clinic in the city of Oman, Algeria, were interviewed concerning their psychological attitudes and reactions to different contraceptive methods. 33% of the sample were employed. 60% were from a lower, 30% from a middle, and 10% from a higher socioeconomic strata. 50% were illiterate or had primary education, 40% had secondary education, and 10% had university education. 60% had 2 or more children. None of the women cited economic reasons for using contraception, but several mentioned the need to work and 50% stated that having a child is not a duty. Fatigue and poor health were the main maternal reasons cited for not having another child. No woman mentioned advanced age of either spouse as a reason for using contraception. 2/3 of the respondents stated that the value of a child lies in assuring family security; a childless woman has no familial or social security. 2/3 of the women expected to have 2-3 children, and 90% wanted 4 or fewer. It was stated that spacing childred enables the parents to bring them up better and preserves the beauty and health of the mother. The husband's prohibition or religious disapproval were viewed as influencing contraceptive practice. 84% of the women wanted to use contraception and 2/3 had already had experience with a method. 84% preferred the pill and 16% the IUD. The need for a doctor's prescription for the pill was not viewed as a disadvantage but rather as a form of authorization of contraceptive use which excused the woman from any guilt. 33 women mentioned reasons why they had discontinued previous pill use, such as side effects, obesity, or menstrual difficulties. The IUD appeared to be acceptable mainly when side effects or contraindications precluded pill use. 50% of women were unfamiliar with it, 17% believed it to be effective, and 33% believed it to be ineffective. It was rejected among other reasons because of the manner of insertion, fear of intervention, and fear of losing it. 16 women had discontinued IUD use for a variety of reasons.^ieng