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45
In his Hunterian lecture, Mr. Winsbury White has said that
cystitis occurring in women appears to be a constant companion of
cervicitis and that it is extremely difficult, in his experience, to get
satisfactory response to treatment of a cystitis which is accompanied
by a neglected cervicitis. It is most interesting, therefore, that in our
series of 11 cases of pyelitis, an eroded cervix was present in seven.
The treatment consisted mainly in dilatation of the urethra and
attention to the unhealthy cervix when present, the patient attending
St. Paul's Hospital frequently for douching and tamponnage, icthyol
and glycerin plugs being used. The results of the treatment at St.
Paul's Hospital and also at New End Hospital were most satisfactory,
only one patient suffering from puerperal pyrexia subsequently. Her
case was notified and she was seen by a Consultant and ultimately
made a good recovery.
With regard to the children born by these women, 13 out of the
14 were well and healthy, one only being a week premature. The
fourteenth child was stillborn, death having taken place some little
time before birth. These results are the more satisfactory in that
four out of the 14 cases were really ill at one time or other during
pregnancy and had to go into New End Hospital for in-patient treatment.
In conclusion I would pay a tribute to the wonderful help 1 have
received from the late Dr. Scott Pinchin during the last 14 years or
so, and to record the sense of loss felt by the patients and ourselves
who work at the Hampstead Municipal Dispensary. It will readily
be understood how important it is to maintain a good liaison between
the Ante-natal Clinics and Tuberculosis Dispensary, as so many
problems are involved when an expectant mother is a tubercular
"suspect"—an especially important one being, whether she should
breast feed her baby or not. Each year I had to refer several such
cases to Dr. Scott Pinchin and he wrote such helpful reports on them.
MARY KIDD,
M.P. (Lond.).