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To the Editor:—
In our daily search to lessen risks to the pregnant woman under our care, we have seen great progress in the decrease of toxemic and infectious deaths and handicaps to mothers. Obstetric hemorrhage, both intra partum and post partum, however, has shown less improvement. Adjuncts, such as the use of intravenously given Ergotrate with the delivery of the head; stronger, more effective oxytocics orally after delivery; and general obstetric advancements in nutrition, anesthesia, and the broader use of better obstetric art have all helped in preserving important maternal blood. In postpartum hemorrhage we have been using the usual methods of transfusions of whole blood, exploration of uterus, uterine massage, and parenterally given oxytocics. Recently we, along with our colleagues, in over 30 problems of postpartum hemorrhage have also been using a mixture for intravenous administration of one ampul of Ergotrate and one ampul of Pitocin in 1,000
Lee AF, Keifer WS. HEMORRHAGE. JAMA. 1955;158(1):72–73. doi:10.1001/jama.1955.02960010074025
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