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March 2, 1940

ASPIRATION PNEUMONITIS: AN OBSTETRIC HAZARD

JAMA. 1940;114(9):728-733. doi:10.1001/jama.1940.02810090006003
Abstract

In October 1937 one of my patients entered the Samuel Merritt Hospital in Oakland in labor at term. She was a healthy normal woman in excellent physical condition, looking forward eagerly and happily to the birth of her first child. She had an ample pelvis, the presentation was normal, and she was assured with confidence that before long her dreams would be realized.

Dilatation progressed normally, and eventually the head was bulging the perineum. The patient was given gas anesthesia for a low forceps extraction. During the course of the anesthesia she gagged and vomited and became very cyanotic. Respiration ceased. Artificial respiration was used for a few seconds and she began to breathe again. Soon her color became normal and it remained so throughout the rest of the delivery and repair. She was returned to her room in good condition, with normal pulse and respiration and no cough.

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