n South African Journal of Obstetrics and Gynaecology - Evaluation and re-evaluation : editorial




Recommended treatments for a variety of problems are introduced with good intentions after evaluation, and sometimes, after unimagined complications or complications of unimagined extent, later withdrawn. For example, in the middle and late 1800s, in reputable teaching institutions in America and Europe, ergotamine was recommended not only to prevent postpartum haemorrhage but also to augment labour. The result - placental abruption, intrauterine fetal death and uterine rupture, maternal death, and, for those babies who survived, possible cerebral palsy.


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