192 



The Philippine Journal of Science 



1917 



indicated, resulting in 36 recoveries and 30 deaths, which gave 

 a mortality of 45 per cent. This mortality is indeed high when 

 compared with the 19 per cent obtained from the identical treat- 

 ment in the 302 nonpregnant cases, that is, 245 recoveries and 

 57 deaths as tabulated in Table I. 



Table I. — Showing the admissions, recoveries, deaths, and mortality of the 

 pregnant and the nonjyregnant cases under discussion. 





Admis- 

 Bions. 



Recov- 

 eries. 



Deaths. 



Mortal- 

 ity. 



Nonpregnant _ . _ 



302 

 •66 



245 

 36 



57 

 30 



Per cent, 

 19 

 46 



Pregnant 



Total _ 



368 



281 



87 



23 





' Eleven cases are excluded for later consideration. 



These results compel me to disagree with Kovalsky,(iO) who 

 states that the mortality in the pregnant cases is not much higher 

 than in the nonpregnant ones. Davis (3) is of the same opinion, 

 in that cholera does not materially increase the mortality, 

 whereas Basil (i) states that when the pregnancy is far advanced 

 in a cholera case it adds much to the gravity of the condition. 

 Hirsch(8) obtained a mortality of 54 per cent; Bouchut,(2) 56 

 per cent; Harten,(7) in Utrecht, 58 per cent; and Freschi,(5) 

 in Genoa, saw nearly all the pregnant cases die. Nichols and 

 Andrews, (12) from their experiences in San Lazaro Hospital, 

 'Manila, in 1908, think that as much as pregnancy lessens the 

 chances of the patient's recovery such cases do not necessarily 

 prove fatal. Schutz's(l6) results show a mortality of 57 per 

 cent for the pregnant cholera patients, and he thinks that this 

 mortality is in direct proportion to the lateness of the pregnancy. 

 It is evident, as shown in Table I, that the chances for recovery 

 of the pregnant cholera patient are decreased by more than 

 twofold. These results agree with those of Liebermeister,(ii) 

 who states that pregnancy greatly increases the danger to the 

 life of the mother. 



Some authorities call attention to the fact that in cholera, 

 in general, the mortality depends updn the interval between the 

 attack and the time of receiving treatment. For the present 66 

 cases, the average interval for those who died was twenty-five 

 hours, and for those who recovered it was fourteen hours. Most 

 of the patients were admitted in the stage of evacuation, that 

 is, the first stage of the disease, and the low mortality of only 



