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Aspiration as a Cause of Maternal Death

¹From the Department of Obstetrics and Gynecology, Mount Sinai Hospital, Hartford, Connecticut; Sinai Hospital, Baltimore, Maryland
²From the Department of Obstetrics and Gynecology, The Johns Hopkins Hospital, Baltimore, Maryland

Abstract

Three cases of aspiration of liquid vomitus are presented as a cause of maternal mortality. The etiology and pathology of this catastrophe arc discussed from an experimental and patho-physiologic point of view. Logical steps are detailed to allow for a rapid and accurate early diagnosis. The use of regional versus general anesthesia and the use of prophylactic antacids in labor are suggested as presentative measures. A treatment procedure, based on the physiologic alterations produced by the action of gastric acid on the pulmonary parenchyma, is outlined with special emphasis on massive, therapeutic dosages of adrenal corticosteroids.

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				H. M. Hollingsworth, M. R. Pratter, and R. S. Irwin Acute Respiratory Failure in Pregnancy J Intensive Care Med, January 1, 1989; 4(1): 11 - 34. [Abstract] [PDF]