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Obstetrics & Gynecology 1969;34:1-6
© 1969 by The American College of Obstetricians and Gynecologists
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Therapeutic Abortion with Hypertonic Intraamniotic Saline

A Clinical ExperieNC.e in a Combined Community-University Hospital

ROBERT C. GOODLIN, MD, FACOG, CHARLES E. McLENNAN, MD, FACOG, JANICE M. CHOYCE, RN, RICHARD S. LEE, MD and JAMES E. STICKLER, MD

From the Department of Gynecology and Obstetrics, Stanford University School of Medicine and Hospital, Stanford, Calif, and the Palo Alto Medical Clinic, Palo Alto, Calif.

Abstract

Termination of pregnaNC.y during the second trimester was accomplished safely in 309 women by means of intraamniotic instillation of a 23%-saline solution. Identification of the early warning symptoms of intravascular saline injection by careful attention to the alert, instructed patient during the solution's slow administration permits immediate discontinuaNC.e of the injection as well as rapid institution of measures to prevent anticipated CNS reactions. Intravenously administered oxytocin at the end of the latent period shortens the period of painful labor.






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Copyright © 1969 by the American College of Obstetricians and Gynecologists.