Abstract
The case presented is that of a 30-year-old primipara who was extremely apprehensive and was delivered by low forceps under nitrous oxide-oxygen-ether anesthesia. Following partial reaction from anesthesia, the patient was given Pituitrin intramuscularly and went into shock twenty minutes later. Cardiac arrest occurred one hour afterward and attempted resuscitation by means of artificial respiration, cardiac massage, epinephrine, procaine, calcium chloride, adrenal cortical extract, and blood transfusions failed, after two hours of continuous effort.It is suggested that the routine use of Pituitrin in obstetrics is dangerous. Satisfactory results can be obtained by the use of nonbiological oxytocic preparations, such as the ergot derivatives. In addition, it should be stressed that the avoidance of anoxia by the expert administration of anesthesia in obstetrics is a very desirable goal.
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