facial dysplasia and paresis. J Re- prod Med 1977;18:83-6.

6. Eisenberg A, Robinson MJ. Fetal deformity and death associated with amniotic bands and looping of umbilical cord. Arch Pathol Lab Med 1980;104:206-7.

7. Higginbottom MC, Jones KL, Hall BD, Smith DW. The amniotic band disruption complex: timing of am- niotic rupture and variable spectra of consequent defects. J Pediatr

8. Ossipoff V, Hall BD. Etiologic fac- tors in the amniotic band syn- drome: a study of 24 patients. Birth Defects: Orig Art Ser XI11 3D

1979;95:544-9.

1977;117-32.

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niogenic band syndrome. Br J Ophthalmol 1981;65:299-303. Worthen NJ, Lawrence D, Bustillo M. Amniotic band syndrome: an- tepartum ultrasonic diagnosis of discordant anecephaly. J Clin Ul- trasound 1980;8:453-5. Fisher RM, Cremin BJ. Limb de- fects in the amniotic band syn- drome. Pediatr Radio1 1976;5:24- 9. Kancherla P1, Untawale VG, Ga- briel JB, Chauhan PM. lntrauterine amputation in one monozygotic twin associated with amniotic band: a case report. Am J Obstet Gynecol 1981 ; 140:347-8.

adhesion malformations in Fin- land. Lancet 1980; 1 :818-9.

14. Pagon R. Amniotic adhesion mal- formations. Lancet 1980;1:1198.

15. Begleiter ML, Callenbach JC, Hall RT, Harris DJ. Atypical amniotic band syndrome. Lancet 1980;1:153.

Address for correspondence: Barbara S. Turner, RN, DNS, MAJ(P), ANC, Walter Reed Army Medical Center, Washington, D.C. 20307-5000.

Barbara S. Turner is a major in the Army 9. Braude LS, Miller M, Cuttone J. 13. Herva R, Rapola J, Rosti J, Karlson

Ocular abnormalities in the am- H . Cluster of severe amniotic NAACOG, ANA, and Sigma Theta Tau. Nurse Corps. Major Turner is a member of

letters

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2. Centers for Disease Control Cancer and Steroid Hormone Study. Long- term oral contraceptive use and the risk of breast cancer. JAMA 1983;249( 12): 1591 - 1595.

3. Pike MC, Henderson BE, Krailo MD, Duke A. Breast cancer in young women and use of oral con- traceptives: possible modifying ef- fect of information and age at use. Lancet 1983;2(8356):926-929.

4 . Burkman RT. The women’s health study. Association between intra- uterine device and pelvic inflam- matory disease. Obstetrics and Gynecology 1981; 57:269-276.

5. Rubin GI,, Ory HW, Layde PM. Oral contraceptives and pelvic in- flammatory disease. Am J Obstet Gynecol 1982;142(6):630-635.

6. Pelvic inflammatory disease: pill risk. Science News 1985;127(17): 263.

Nursing’s Only Official Charity Organization

Two years ago at the District Two conference in Montauk, I in- cluded a workshop on financial planning for women. Those in at- tendance reported that the infor- mation they received was timely,

important, and surprising. Nurses mainly work for non-profit insti- tutions and rarely receive pen- sions or participate in tax-free shelters. Credit unions represent one form of saving from one’s salary with interest equal to banks. What else have we?

I have always admired those professions or groups that pre- pared for the uncertain future and took care of its own. A nurse- patient I had who was penniless, cancer-ridden, and divorced with four dependent children was a re- cipient of financial help from Nurses House. Their recent, small advertisements in journals and news bulletins led to a call to their offices in New York City. I ar- ranged for an in-service presen- tation to the group of nurse prac- titioners in the HMO where 1 work.

Sister Robert, the president of the Board of Nurses House and dean of the St. Vincent’s School of Nursing in Manhattan, came to talk to us at lunch. Sister Robert is a warm, sincere, quietly dy- namic doer. Without wringing heart strings or imposing feelings

of guilt, she impressed us with the aspirations of Nurses House and its continued accomplish- ments. I have joined a s a member and 15 colleagues have joined as a group. A chapter has been started on Long Island and their first luncheon is coming up.

I f , a s individuals, we adopt Nurses House as our charity, we demonstrate concern for a growing number of needy nurses. We can- not predict the future, and it would be a paradox if we failed to re- spond to Nurses House and then needed their help. We give gen- erously to major, organized char- ities in door-to-door campaigns, community funds, and telethons. We must open our hearts and minds to Nurses House’s dignified methods of giving and continually support these endeavors.

NAACOG represents a group of nurses sharing a specialty. Nurses House represents all nurses. The need is increasing; it stirs our consciousness for quiet concern. Let us care sincerely for those who also cared. Nurses House is

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July/August 1985 JOCNN 30 1

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puerperal lactation. J Obstet Gy- necol Br Commonw 1973;80:945. Hodge C. Suppression of lacta- tion by stilboestrol. Lancet 1967;

Daniel DG, Campbell H, Turnbull A. Puerperal thromboembolism and suppression of lactation. Lan- cet 1967;2:287-9. David A, Romen I, Lunenfeld B, et al. Stilbestrol administration in the puerperium and its effect on the prolactin excretion of nonlactating patients. Acta Obstet Gynecol Scand 1977;56:211-5. Turnbull A. Puerperal throm- boembolism and the suppression of lactation. J Obstet Gynecol Br Commonw 1968;75:1321.

21286-7.

15. Tindall V. Factors influencing puerperal thromboembolism. J Obstet Gynecol Br Commonw 1968;75: 1324.

16. Jeffcoate TNA, Miller J , Roos R, Tindall V. Puerperal thromboem- bolism in relation to the inhibition of lactation by oestrogen therapy. Br Med J 1968;4:19-25.

17. Duchesne C, Leke R. Bromocrip- tine mesylate for prevention of postpartum lactation. Obstet Gy- necol 1981;57(4):464-467.

18. Cook TD, Campbell DT. Quasiex- perimentation design and analysis issues for field setting. Chicago: Rand McNally, College Publishing Co., 1979.

Address for correspondence: Shirley Wong, R N , College of Nursing, Grand Canyon College, 3300 West Camelback Road, P.O. Box 11097, Phoenix, AZ 8506 1.

Shirley Wong is an assistant professor in the Samaritan College of Nursing at Grand Canyon College in Phoenix, Arizona. Ms. Wong is a member of Sigma Theta Tau, NAPNAP, and ANA.

Elizabeth Stepp-Gilbert is an assistant pro- fessor in the Samaritan College of Nursing at Grand Canyon College in Phoenix, Arizona. Ms. Stepp-Gilbert is a member of NAACOG, Sigma Theta Tau, and the Childbirth Edu- cation Association.

letters

(Continued from page 307) well-written. However, it was from those who jogged less inten- at 10 Columbus Circle, New York, somewhat unclear whether joggers sively. This retrospective look at N Y 100 19- 1346. had started jogging prior to men- age of menarche merely suggested

arche, and if they did not, why that, for this group of women, YVONNE PARNES, R N C one would expect a difference in later participation in intensive ex- the age of beginning menses ac- ercise was not related to reported Great Neck, New York

cording to the intensity of jogging. menarche age. Effects of Jogging

I want to commend you for your article, “Intensity of Jogging: Re- lationship with Menstrual/Repro- ductive Variables,” by Estok and Rudy (November/December 1984 JOCNN). A s the article mentioned, we must dispel myths regarding the effect of exercise on menstrual and reproductive function. It is an important and timely issue. In this day and age where physical fitness and health promotion are empha- sized, we want to know about the positive and adverse effects on our bodies. 1 recommend the con- tinuation of research on the sub- ject.

Having jogged throughout my pregnancies, 1 was very interested in the findings about this subject; unfortunately, there were not enough subjects from which to draw any conclusions.

The article was interesting and

LENORE B. WEINSTEIN, RN, MA Milwaukee, Wisconsin

Authors’ reply: A s indicated by Ms. Weinstein, the section in which age at menarche was dis- cussed (on page 393 of our article on jogging) can be confusing. Data were not collected on age at onset of jogging. Controversy exists in the literature regarding the rela- tionship between delayed men- arche and intensive exercise. It is often difficult to discern if exercise delayed menarche in the female athlete being studied, or if these young women, who are late ma- turing and usually taller and thin- ner, become athletes through nat- ural selection. We found that, out of the 319 women studied, those who jogged most intensively were not significantly differeht in their self-reported age of menarche

Patient Options

Regarding the article in the January/February 1985 issue of JOCNN entitled “Pregnancy and Cardiac Valvular Prostheses,” I am very disturbed by two statements. The first one is “Breastfeeding will be contraindicated due to sodium warfarin excretion in breast milk,” and the second is “Advise against breastfeeding, depending upon anticoagulant regimen.”

Deborah Chyun, RN, is not an obstetric o r pediatric nurse and may not recognize the great im- portance of breastfeeding to both mother and baby, but I feel she is recommending inappropriate pro- cedures for pregnant women.

Her first statement should have read, “Breastfeeding is contrain- dicated with the use of sodium

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