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ARTICLE |

ACUTE EPIDEMIC POLIOMYELITIS COMPLICATING PREGNANCY FREE

M. BERNARD BRAHDY, M.D.; MAURICE LENARSKY, M.D.
JAMA. 1933;101(3):195-198. doi:10.1001/jama.1933.02740280015007
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The occurrence of epidemic poliomyelitis during pregnancy raises several questions. How often does it occur? Should the patient go to term and, if she does, what will be the effect on the labor? Will a viable infant be born? If so, what are the probabilities of intra-uterine infection?

There is no unanimity of opinion as to the frequency of poliomyelitis occurring during pregnancy, nor as to the susceptibility of gravid women to the disease. Aycock1 believes that poliomyelitis occurs more frequently in the latter part of pregnancy than would normally be expected if the condition had not predisposed to the disease. Jungeblut and Engle2 state that early pregnancy and early infancy are the high-water marks of natural resistance to poliomyelitis. The same authors examined the blood of ten women at various stages of pregnancy and found an apparently higher individual virucidal titer than is commonly found in normal

REFERENCES

Aycock, W. L., quoted by Neal, Josephine B.: Poliomyelitis , Baltimore, Williams and Wilkins Company, 1932;, p. 416.
Jungeblut, C. W., and Engle, E. T.:  Resistance to Poliomyelitis , J. A. M. A. 99:2091 ( (Dec. 17) ) 1932;.
Aycock, W. L., and Kramer, S. D.:  Immunity to Poliomyelitis in Mothers and New-Born , J. Exper. Med. 52:457 ( (Oct.) ) 1930;.
Alpers, B. J., and Palmer, H. D.:  The Cerebral and Spinal Complications Occurring During Pregnancy , J. Nerv. & Ment. Dis. 70:606 ( (Dec.) ) 1929;.
McGoogan, L. S.:  Acute Anterior Poliomyelitis Complicating Pregnancy , Am. J. Obst. & Gynec. 24:215 ( (Aug.) ) 1932;.
Williams, J. W.: Obstetrics , ed. 4, New York, D. Appleton & Co., 1920;.
Good, F. L.:  Pregnancy and Labor Complicated by Diseases and Injuries of the Spinal Cord , J. A. M. A. 83: 416 ( (Aug. 9) ) 1924;.
Potts, C. S.:  Intra-Uterine Poliomyelitis , Arch. Neurol. & Psychiat. 21: 288 ( (Feb.) ) 1929;.
McCarthy, D. J.:  Report of a Case of Prenatal Poliomyelitis , Rep. Henry Phipps Inst. 5:437, 1907-1908;.
Lamy, H.:  Sur un cas d'encéphalite corticale et de poliomyélite antérieure associées , Rev. neurol. 2:313, 1894;.
Fritsch:  Ein Fall von Poliomyelitis centralis , Allg. med. Centr.-Ztg. , 57: 137, 1908;.
Batten, F. S.:  Does Poliomyelitis Occur in Intra-Uterine Life? Brain 33: 149, 1910;.
Lewis, J. M.: Personal communication to the authors. Report of case to be published.
Finkelstein, H.: Lehrbuch der Säuglingskrankheiten , ed. 3, Berlin, Julius Springer, 1924;, p. 137.
The Epidemic of Poliomyelitis in New York in 1916 , Monograph of the Department of Health, New York City, 376, 1917;.
Oldt, F.: Poliomyelitis , Ohio Department of Health, Columbus, 1929;.
Weisenburg: Tr. Am. Neurol. A. 43:142, 1918;
Poliomyelitis, Report of the International Committee for the Study of Infantile Paralysis , Baltimore, Williams and Wilkins, 1932;.
Reference 15.

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Aycock, W. L., quoted by Neal, Josephine B.: Poliomyelitis , Baltimore, Williams and Wilkins Company, 1932;, p. 416.
Jungeblut, C. W., and Engle, E. T.:  Resistance to Poliomyelitis , J. A. M. A. 99:2091 ( (Dec. 17) ) 1932;.
Aycock, W. L., and Kramer, S. D.:  Immunity to Poliomyelitis in Mothers and New-Born , J. Exper. Med. 52:457 ( (Oct.) ) 1930;.
Alpers, B. J., and Palmer, H. D.:  The Cerebral and Spinal Complications Occurring During Pregnancy , J. Nerv. & Ment. Dis. 70:606 ( (Dec.) ) 1929;.
McGoogan, L. S.:  Acute Anterior Poliomyelitis Complicating Pregnancy , Am. J. Obst. & Gynec. 24:215 ( (Aug.) ) 1932;.
Williams, J. W.: Obstetrics , ed. 4, New York, D. Appleton & Co., 1920;.
Good, F. L.:  Pregnancy and Labor Complicated by Diseases and Injuries of the Spinal Cord , J. A. M. A. 83: 416 ( (Aug. 9) ) 1924;.
Potts, C. S.:  Intra-Uterine Poliomyelitis , Arch. Neurol. & Psychiat. 21: 288 ( (Feb.) ) 1929;.
McCarthy, D. J.:  Report of a Case of Prenatal Poliomyelitis , Rep. Henry Phipps Inst. 5:437, 1907-1908;.
Lamy, H.:  Sur un cas d'encéphalite corticale et de poliomyélite antérieure associées , Rev. neurol. 2:313, 1894;.
Fritsch:  Ein Fall von Poliomyelitis centralis , Allg. med. Centr.-Ztg. , 57: 137, 1908;.
Batten, F. S.:  Does Poliomyelitis Occur in Intra-Uterine Life? Brain 33: 149, 1910;.
Lewis, J. M.: Personal communication to the authors. Report of case to be published.
Finkelstein, H.: Lehrbuch der Säuglingskrankheiten , ed. 3, Berlin, Julius Springer, 1924;, p. 137.
The Epidemic of Poliomyelitis in New York in 1916 , Monograph of the Department of Health, New York City, 376, 1917;.
Oldt, F.: Poliomyelitis , Ohio Department of Health, Columbus, 1929;.
Weisenburg: Tr. Am. Neurol. A. 43:142, 1918;
Poliomyelitis, Report of the International Committee for the Study of Infantile Paralysis , Baltimore, Williams and Wilkins, 1932;.
Reference 15.
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