The Medical journal of Australia
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The normal physiology of the third stage of labour and the effect of oxytocics at the end of the second stage have been discussed. An assessment of the results of different policies of third stage management has been made, including a comparison of the advantages and disadvantages of the traditional method versus the use of controlled cord traction. It is recommended that ergometrine (0.25 mg) be administered intravenously after delivery of the baby, and the exclusion of a second twin. Once the uterus has contracted the placenta should then be delivered by the technique of controlled cord traction.
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A case from the 19th century is described. The patient was admitted to hospital as a man but was revealed to be a woman. The woman's history is examined and the psychological implications of her impersonation are discussed. A hypothetical diagnosis of transsexualism is made.
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The mean age of the menopause by probit analysis in a group of apparently healthy Australian women was 50.4 years. No relationship was found between this value and the age of the menarche or the number of children born or the age at the time of birth of the first child. The mean duration of the menstruating life was 26.3 years with a range of from 17 to 44 years.