A frontier nursing service

The type of cases which come to the service of Cook County Hospital makes “a follow-up” exceedingly difficult for a period sufficiently long. Frequency of syphilis makes the possibility of pregnancy rather remote. Of sixteen cases of transplantation all resumed menstrual function from three weeks to three months after the operation. Slight dysmenorrhea was the only complication noted in some of the cases. Out of a group of five cases of transplantation with preservation of the pedicle, all menstruated and one became pregnant six months later, but aborted at two months. The effect of operation upon the health and the psychic states of the women was most gratifying. My experience coincides with that of Estes and Tuffier. Preservation of ovarian function in these cases is a distinct advance over the older castrating procedures.