Journal Abstracts Lrnda e.w,er. CNM, MS

slRTH CONTROL PILLS FOR NURSING MOTHERS?

Nitsson. S.. Nygren, K.. Johansson, E. “d4orQestret concentrations in mator-

“at plasma, mltk, and child plasma during admtn,str*,ion Of ora, cO”naceptl”es ,o ““rsl”Q women ” Am. J. Ob*f*f. Gyne- co,.129:17.9.1977

S,artl”Q 2 “lO”thS pDS,pKt”m f S f”ttV lactati”g women were give” one of

mree oral contraceptives containing dif. fare”, amounts of d4orgestret. Milk was collected pr,or to a feeding and immediately alter feedings. Hormone levels w*re BSsa”‘Jd I” the maremat serwn, the m,tk samples and in 3 of the children’s plasma. The highest concen- tration of d-Norgestret was found in the milk within 3 hours a,,er ~ngesbon of Me

premursing milk [due to the increased ,a, content,. The Q”W0,S sm,e: “I” CO”. ctusto”. the milk c~ncentratmn of d-Nor. gestret;s only about 15% Of Ihe plasma Cc4lCe”tra,ion in women using Oral cun. tra~ep,,~es containing d-Norgestret The dose 01 d-Ng lo the baby 1s small, around ,I of the maternal oral dose, and appaafs lo be read,,y metabobzed ”

TREATMENT OF ACUTE FETAL DlswtESs WITH IPRAPOL

Ltpshitz. J.. MD. “Use of a Beta-sym-

pathomimetic drug 8s a temporizing measure in thB treatme”, 0‘ acute fetal disbess.” Am.J. Dbste,. Gyneco,. 129:

31.1971.

ncrea~ed “,e”,ptac~n,a, blood flow. 4, mpro”emen, 0, low fetal pH tabo,,shnQ eta, acidosis,. 5) l”‘XeaSl”Q ma,W”a, Itnod glucose and insulin teve,~ Good BF”I,G w,,,l beta-sympathamlmetic

Irugs have been found by sever.3, au- hors (e.g. dtodrinet. bu, ,he a”ttmrs :taim hexoprentlhne works equally wet, %“d with less tachycardia. Feral moni,or racinga m a,, six cases demonstrafe re- narkable ,mpr~vemen, ill the ‘eta, hear,

‘ate and pattern. It 1s wnted o”, that ,he.ve df”QS shouk, be used as tempor- z,“g measures wty, in order to wad a wnied mechanical daliwry or wh,le awaking a delayed cesarean section

DIRECT FETAL MONITORING AND SCALP ABCESSES

Okada. D., MD, Chow, A., MD. Bruce, V PNP “Neonafa, scalp abscesses and ,*,a, monitoring. Factors a*socla,ed With i”fec,lon.” Am. J. Obstef Gynecof 129:185.1977.

In a prospec,w study of 929 newborn infants who were monItored dwng labor w,,h a s~,ral etecvode 42 (4 5%) were found lo have dewloped a scalp ab- scess. “nivarmte and m”ttlvadate meth- ads 0, analysis were “S&X, 10 ldentlty fac,~rsas~~~iated with thlsoccurre”ce. Fac,M* examined mcluded: du‘atlcm Of momtwmg. I”dica,io”s for mon,torl”g.

prematurity. oxytocin au~mentabon. duration of ruptured membranes. panty. maternal am”,o”tt,s, melhod cf delrsry.

eng,h of labor, biRh we!gh,. and “se cf wo or more electrodes. Not i”c,“ded ae,e numbw 0, vagina, exami”abrmS w

eng,h of second sfage.

9” m”ki”ana,e a”at-ns me On,” wa”i- _ rican: ‘actors were d”r.aO” 0, rm”ilo,- tng 16 3 hrs m the abscess Q~OUP, 3 9 hrs in the control gro”), and ,“e pres- ewe 0, high “5k indications fox Ihe monltortna ,as owosed l-2 thse Who

,rea,ed wth ~ys,em,c a”,,b,o,‘cs. and none showr sians of SEasIs. The a”-

ctudde by stressing their ‘:,ew ,“a, cerv- cat CO~ZB,K”I should no! be ,he firs,

JOURNALOFNURSE-MtDWIFERY.Yo,. XX,,. No.4 WtnterlDTS