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Biomedical subjects

E A Graber

Publications and source records attributed to E A Graber.

At least 19 recordsLinked to original sources

Dilemmas in the pharmacological management of preterm labor.

It is the thesis of the author that the use of Ritodrine in the treatment of premature labor is potentially dangerous and possibly even lethal. Ritodrine is being overused in the attempt to control and delay premature labor. Only 25 to 50 per cent of patients complaining of premature labor pains actually proceed to true preterm labor. Because there is no definitive screening test to firmly establish the diagnosis of preterm labor, many women are treated unnecessarily with a drug that many obstetricians question as to its efficacy, safety, and cost. If it is used, it must be in a hospital with adequate facilities both in manpower and the ability to identify and treat the medical and obstetrical complications. Ritodrine is too potentially dangerous to be used as an attempt to "do something" it there are questionable indications.

Clinical Protocols

Abdominovaginal delivery: modification of the cesarean section operation to facilitate delivery of the impacted head.

The abdominovaginal delivery is a modification of the cesarean section operation in the presence of an impacted fetal head, usually after a prolonged second stage of labor with ruptured membranes. With the legs abducted in either the "Whitmore" or the "frog" position, the wedged vertex is gently lifted with the cupped hand into the open transverse uterine incision, thereby reducing injury to the fetal head and the uterus. With the greater use of cesarean section operation and the sharp reduction in rotational and midforceps deliveries, the abdominovaginal procedure has an increasingly important place in our obstetric armamentarium.

Cesarean Section

Augmented labor.

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Cesarean Section