Spinal Analgesia for Caesarean Section

Abstract

BRDIRISH renal function (as usually measured) is impaired in renal disease menstruation will sometimes cause a temporary increase in the degree of impairment. Moreover, I have recently obtained evidence that menst.:uation will sometimes cause temporary impairment of renal function in apparently normal women. It is not unlikely, therefore, that oedema associated with endocrine imbalance results primarily from the effects of such imbalance on renal function. It is difficult to escape the conclusion that the very large group of adult women suffering from " idiopathic " oedema of the kind referred to, often but not invariably associated with oligoand amenorrhoea, constitutes a fairly well defined syndrome that is probably endocrine in origin. Lest false hopes be raised it is necessary to add that none of the symptoms of this syndrome appear to respond to alkaline therapy so readily as amenorrhoea.-I am, etc.,