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Biomedical subjects

N Devitt

Publications and source records attributed to N Devitt.

18 recordsLinked to original sources

Saline amnioinfusion for relief of variable decelerations.

Fetal distress due to oligohydramnios can be treated with saline amnioinfusion. The technique is easily learned by physicians who know how to use intrauterine pressure catheters. Therapeutic and prophylactic indications for saline amnioinfusion include oligohydramnios, thick meconium-stained amniotic fluid, and fetal distress. Family physicians can use this new procedure to actively manage labor.

Adult↗

Overwhelming pneumococcal septicaemia in a patient with ulcerative colitis and splenic atrophy.

This report describes a young woman with ulcerative colitis who developed rapidly fatal pneumococcal septicaemia. Necropsy revealed splenic atrophy. This case supports the hypothesis that splenic atrophy might contribute to the morbidity of ulcerative colitis. The occurrence of splenic atrophy in ulcerative colitis is now well established. Splenic atrophy from other causes has been associated with severe bacterial infections, often pneumococcal. It has been suggested that splenic atrophy is most severe when ulcerative colitis is active and may contribute to postoperative morbidity. This case documents overwhelming septicaemia in a patient with splenic atrophy whose colitis was in remission.

Adult↗

The statistical case for elimination of the midwife: fact versus prejudice, 1890-1935 (Part I).

The medical literature from 1890 to 1935 that examines the "midwife problem" in the United States is reviewed to evaluate the arguments of that period urging elimination of midwifery in the United States. Although many midwives at first delivered poor care, this was the result of efforts to deny them education and supervision. Due to physicians' poor training and philosophy of interference in birth, lay midwives delivered care as safe or safer than the average physician. Trained midwives delivered superb medical care and gave birthing women personal attention that physicians were too rushed to provide. It is suggested that the elimination of midwifery in the United States slowed the decline in infant and maternal mortality.

Female↗