MinervaBMJ 1994; 308 doi: http://dx.doi.org/10.1136/bmj.308.6924.350 (Published 29 January 1994) Cite this as: BMJ 1994;308:350
A lot of publicity was given in mid-January to a report from New York (JAMA 1994;271:213-6) suggesting that women with silicone breast implants who breast fed their children might put them at risk of developing oesophageal abnormalities similar to those seen in scleroderma. The report was based on 11 children aged 1 1/2 - 13 years being investigated for abdominal pain and found to have impaired oesophageal motility. No immunological abnormalities were found, and biopsy specimens showed only mild oesophagitis similar to that seen in controls.
As the rate of caesarean section approaches 20% in some obstetric centres in Britain interest is being focused on the management of labour in nulliparous women. An editorial in the British Journal of Obstetrics and Gynaecology (1994;101:1-3) suggests that impatience may be playing a part: in many cases failure to progress is really failure to wait for the active phase of labour.
Those of us brought up to believe that it is healthy to sleep with a window open will welcome some fresh ammunition in a report from Sweden (New England Journal of Medicine 1994;330:159-64). This looked at residential exposure to radon, a potent cause of lung cancer, and concluded that in houses contaminated by the gas sleeping with a window …
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