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Scopolamine-morphine seminarcosis
eleete nesthesia in, Schwartz, Journal
Otto H., American
and Krebs, 0. S.: Medical Associnlion,
Scopolamine-morphine’ 1923, lsxsi, 1053.
Seminarcosis.
The authors tabulate the results obtained hy a d(lfinite method of proeeduie They feel that in the use of scopolamine-morphine during the first stage of labor. scopolamine-morphine is the most effeetivc method of relieving pain. In the first series of 1,000 cases they received satisfactory results in SO per cent of the cases and in the second series of 1,000 cases in 88.33 per cent. They show practica,lly ehe same fetal mortality where the method was not employed. Its use is advised only in hospital practice under t!le supervision of a trained obstetrician and is condemned for the poorly equipped home under the general practitioner ‘9 care. It is! of special service in primiparae. Asphyxia in the newborn was not found increased in this series. War. KERWIN. Hirschman, Morphine
N. : During
The “Standardized-Dosage’ Labor. British Nedieal
’ Method of Journal, October
Using Scopolamine14, 19;22, p. 669.
The author reports obseivatlons on I-i0 cased, 63 primiparae and 77 multipa!,ae. Xurphine causes the analgesie cffcet pA~arily, and allows the scopolamine to take effect. The second close is not required. He sometimes combines atropine, IJISQ grain, with the initial injection of morphine snd scopolamine (morphine XL& grain, scopolamine l/100 grain). This was follorved by hourly doses of seopolamine l/400 grain. Postpartum hemorrhage and manual extraction of the placenta do not occur more than usual. F. L. ADAIR. W. 0.: Amsthetics nal, October 11, 1922, p. 667.
Greenwood,
and Analgesics
in Labor.
British
M&cal
.Jour-
The author advocates the use of morphine and scopolamine to lessen the pain and shock incident to labor. He thinks the dose should be varied Iv-it11 the individual patient as well as the succeeding dose’s, Abont a half hour after the second dose, If this procedure is carefully carried bhe patient shou!d be tested for amnesia. out it is without special danger to either mother or child. F. L. ADAIR.
onwer: Gynekologie,
PainleSs 1922,
Childbirth. xxviii,
SederlarrJsch
Tijtlwhrift
voor
Verloskunde
en
113.
Kouwer reviews rather exhaustively the history of attempts to lessen the pains of childbirth which, apparently, had its beginning e\cn before the beginning of the Christian era. He pays) especial attention to the evolution of morphine-scopolamine seminarcosis and analyzes carefully the reports of’ I-arious observers in all parts of the world. He thinks it rather unfortunate that this method has been spread more by adrather than by the assimilation of a-ertizing which ofteu smacks of quac.kery, scientific reports, which latter are hardly ir, aeeord with the exorbitant claims 364
Otto H., American
and Krebs, 0. S.: Medical Associnlion,
Scopolamine-morphine’ 1923, lsxsi, 1053.
Seminarcosis.
The authors tabulate the results obtained hy a d(lfinite method of proeeduie They feel that in the use of scopolamine-morphine during the first stage of labor. scopolamine-morphine is the most effeetivc method of relieving pain. In the first series of 1,000 cases they received satisfactory results in SO per cent of the cases and in the second series of 1,000 cases in 88.33 per cent. They show practica,lly ehe same fetal mortality where the method was not employed. Its use is advised only in hospital practice under t!le supervision of a trained obstetrician and is condemned for the poorly equipped home under the general practitioner ‘9 care. It is! of special service in primiparae. Asphyxia in the newborn was not found increased in this series. War. KERWIN. Hirschman, Morphine
N. : During
The “Standardized-Dosage’ Labor. British Nedieal
’ Method of Journal, October
Using Scopolamine14, 19;22, p. 669.
The author reports obseivatlons on I-i0 cased, 63 primiparae and 77 multipa!,ae. Xurphine causes the analgesie cffcet pA~arily, and allows the scopolamine to take effect. The second close is not required. He sometimes combines atropine, IJISQ grain, with the initial injection of morphine snd scopolamine (morphine XL& grain, scopolamine l/100 grain). This was follorved by hourly doses of seopolamine l/400 grain. Postpartum hemorrhage and manual extraction of the placenta do not occur more than usual. F. L. ADAIR. W. 0.: Amsthetics nal, October 11, 1922, p. 667.
Greenwood,
and Analgesics
in Labor.
British
M&cal
.Jour-
The author advocates the use of morphine and scopolamine to lessen the pain and shock incident to labor. He thinks the dose should be varied Iv-it11 the individual patient as well as the succeeding dose’s, Abont a half hour after the second dose, If this procedure is carefully carried bhe patient shou!d be tested for amnesia. out it is without special danger to either mother or child. F. L. ADAIR.
onwer: Gynekologie,
PainleSs 1922,
Childbirth. xxviii,
SederlarrJsch
Tijtlwhrift
voor
Verloskunde
en
113.
Kouwer reviews rather exhaustively the history of attempts to lessen the pains of childbirth which, apparently, had its beginning e\cn before the beginning of the Christian era. He pays) especial attention to the evolution of morphine-scopolamine seminarcosis and analyzes carefully the reports of’ I-arious observers in all parts of the world. He thinks it rather unfortunate that this method has been spread more by adrather than by the assimilation of a-ertizing which ofteu smacks of quac.kery, scientific reports, which latter are hardly ir, aeeord with the exorbitant claims 364