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Shock in obstetrics

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      Abstract

      A review of maternal mortality in any area of the United States indicates that a significant number of patients continue to lose their lives from shock. These deaths are largely preventable through more careful obstetrics when performed in hospitals with the facilities to meet the emergency treatment of shock.
      Except for the case of myocardial infarction and the occasional case of sepsis, the treatment of shock as herein defined depends on early administration of blood in amounts adequate to restore the effective blood volume. Lack of adequate blood replacement, if it does not result in death, may lead to severe renal and pituitary damage. It is apparent that shock in obstetrics can-not be treated effectively by blood obtained from a blood repository outside the hospital or from donor lists. It can be met only by the hospital's own blood bank and by the storage of suitable blood in adequate amounts on the delivery floor. It is suggested that no hospital be allowed to care for pregnant women if it is unable to meet this essential requirement.
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