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February 24, 1940

EPINEPHRINE HYDROCHLORIDE IN ACUTE PUERPERAL INVERSION OF UTERUSREPORT OF THREE CASES

JAMA. 1940;114(8):649-652. doi:10.1001/jama.1940.02810080021007
Abstract

Inversion of the uterus has been so well covered in the literature and standard textbooks on obstetrics and gynecology, particularly those by Curtis,1 Irving,2 Cooke,3 Williams,4 Graves5 and De Lee,6 that we shall attempt here only a brief summary of existing thought with special reference to management of acute puerperal cases. More particularly, we shall consider the use of epinephrine hydrochloride as an aid in reduction of the uterus to its normal position and report three additional cases in which this treatment was used.

Epinephrine hydrochloride has been particularly useful in prolonged labor with contraction ring as reported by Weiss,7 Rudolph and Ivy8 and others. The experimental and clinical work with the drug and studies on the physiology of uterine contraction by Rucker,9 Rudolph and Ivy,10 Rudolph11 and Ivy, Hartman and Koff12 are of great interest. De Lee

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