/library/oar/handle/123456789/12275 Wed, 12 Nov 2025 14:39:24 GMT 2025-11-12T14:39:24Z :443/library/oar/retrieve/933e8e01-941d-40c2-a66c-0a7849b6605b/ /library/oar/handle/123456789/12275 /library/oar/handle/123456789/20545 Title: Placenta Praevia : management in the last century Abstract: Placenta praevia is nowadays managed by Caesarean section in most cases, and only in the marginal or lateral placenta praevia is vaginal delivery considered. The situation was very much diHerent in the past, when the mortality associated with the operation prohibited the use of Caesarean section in the management of placentae praevia. The maternal mortality following section in 1888 was reported (8) at 54-62%, while that following complications of placenta praevia was lower at 30% (17). The parental mortality following vaginal delivery in cases of placerta praevia was 50-74% (7). Caesarean section for placenta praevia was recommended in 1898 by Lawson Tait (9) but acceptance only gained ground slowly. In 1923, it was noted (5) that "the performance of Caesarean section for cases of placenta praevia .... is being overdone." As late as 1951 (1) Caesarean section was noted to be contra-indicated if the patient had been examined vaginally in her home, or after a pack had been inserted in to the vagina, or if the child was too premature. It was considered the method of choice in elderly primi- gravida, total placenta praevia and in those cases of partial placenta praevia in which the cervix was long and closed. The reduction in foetal mortality was only brought about after Macafee 01,12) introduced the con- servative antenatal management of placenta praevia with the aim of allowing the pregnancy to continue until the fetus has a chance of survival ex utero. Tue, 01 Jan 1991 00:00:00 GMT /library/oar/handle/123456789/20545 1991-01-01T00:00:00Z /library/oar/handle/123456789/20544 Title: Editor's letter [Medi-Scope : issue 14 editorial] Abstract: The editorial board wishes to extend its congratulations to the thirty doctors who have successfully completed the 1990 and 1991 final examinations, As a few of us were amongst that number, we would like to thank the Dean of the Faculty of Medicine and Surgery, and all our tutors in the name of our colleagues. Tue, 01 Jan 1991 00:00:00 GMT /library/oar/handle/123456789/20544 1991-01-01T00:00:00Z /library/oar/handle/123456789/20543 Title: Ageing and endocrine function Abstract: Endocrine dysfunction in the elderly is characterised by its presentation in a setting of multiple system disorders and usually manifesting itself in an atypical and even subtle fashion . The consequences are two fold: problems are inevitably easily overlooked and there is rampant direct attribution of symptom complexes and signs to old age itself. Tue, 01 Jan 1991 00:00:00 GMT /library/oar/handle/123456789/20543 1991-01-01T00:00:00Z /library/oar/handle/123456789/20542 Title: Medi-Scope : issue 14 Editors: Soler, Jean Karl Abstract: Ageing and endocrine function -- Placenta Praevia : management in the last century -- Sunbathing : a case of tan now pay later? -- Doppler ultrasound : clinical applications in the adult and foetus -- Scombroid fish poisoning -- Hagret il-General : an islet with past medical links -- Alcoholism : what every doctor should know -- Delaying an untimely delivery -- Memory: Part 1: Neurochemistry and Spatial organisation -- Letter to the editor : medical documentalists in Malta. Tue, 01 Jan 1991 00:00:00 GMT /library/oar/handle/123456789/20542 1991-01-01T00:00:00Z