The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Aug 1979
Randomized Controlled Trial Clinical TrialInhibition of puerperal lactation: evaluation of bromocriptine and placebo.
Bromocriptine and placebo were randomly allocated to 50 patients who wished to suppress lactation. Patients on bromocriptine suffered no subjective symptoms such as breast pain and engorgement, and lactation was significantly reduced compared with patients on the placebo with or without breast binding. No side-effects were noted, and rebound lactation was seen in only 3 patients. In most patients contraceptives were commenced once the drug therapy ceased on the fourteenth day.
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Aust N Z J Obstet Gynaecol · Feb 1979
Review: the significance and management of raised blood pressure in pregnancy.
Recent advances in the diagnosis, management and prognosis of hypertension in pregnancy are discussed, with emphasis on antihypertensive drug treatment. The use of diuretics, alpha-methyldopa, clonidine, hydrallazine, beta-adrenergic blockers, diazoxide, chlormethiazole, diazepam and heparin is given special attention.
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Placenta accreta is a rare complication of pregnancy which contributes significantly to maternal morbidity and mortality. Five cases are presented which illustrate different modes of presentation and problems of management; one of the patients (with placenta praevia accreta) died following Caesarean section and subtotal hysterectomy.
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Aust N Z J Obstet Gynaecol · Nov 1978
A review of the use of Barton's forceps for the rotation of the fetal head from the transverse position.
The technique of use of Barton's forceps is described. A series of 248 patients in a 4-year period has been assessed to determine the safety of the instrument. It is concluded that the forceps can be used with safety for both mother and baby under pudendal block anaesthesia, in mid-cavity and low-cavity deliveries.
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A case of acute traumatic tetraplegia during pregnancy resulting in maternal death is presented, and problems of management are discussed. Difficulties experienced by the mother were intractable urinary tract infection and respiratory insufficiency; those in the neonate were prematurity and the effects of drugs administered to the mother.