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ASPIRATION OF AMNIOTIC FLUID OF THE PERINATE

ASPIRATION OF AMNIOTIC FLUID OF THE PERINATE Obstetrics has advanced to the point where the maternal mortality is less than 1%. It is both amazing and shameful to find an unchanged perinatal morbidity and mortality during the first 7 days of life in the last four decades. Most of the literature on atelectasis and hyaline membrane disease in the perinatal period is concerned with the secondary chemical causation. Just as much is concerned with treatment of lung pathology, cardiac failure, elevated pCO2 levels, anoxemia, and cerebral anoxia of an elective section of the premature infant and the infant of a diabetic mother.1 Very little information has been offered concerning primary mechanical etiology and its immediate treatment. At the risk of being practical, I believe the realist has the proper answer. How can one hope to bypass with oxygen the alveoli and/or bronchi and bronchioles two hours or later after birth? Treatment should be directed to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

ASPIRATION OF AMNIOTIC FLUID OF THE PERINATE

JAMA , Volume 169 (12) – Mar 21, 1959

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1959.73000290005010b
Publisher site
See Article on Publisher Site

Abstract

Obstetrics has advanced to the point where the maternal mortality is less than 1%. It is both amazing and shameful to find an unchanged perinatal morbidity and mortality during the first 7 days of life in the last four decades. Most of the literature on atelectasis and hyaline membrane disease in the perinatal period is concerned with the secondary chemical causation. Just as much is concerned with treatment of lung pathology, cardiac failure, elevated pCO2 levels, anoxemia, and cerebral anoxia of an elective section of the premature infant and the infant of a diabetic mother.1 Very little information has been offered concerning primary mechanical etiology and its immediate treatment. At the risk of being practical, I believe the realist has the proper answer. How can one hope to bypass with oxygen the alveoli and/or bronchi and bronchioles two hours or later after birth? Treatment should be directed to

Journal

JAMAAmerican Medical Association

Published: Mar 21, 1959

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