title: Intrapartum, intranasal cocaine use and acute fetal distress. A case report.
abstract: Intrapartum, intranasal cocaine was used for relief of labor pains by a healthy woman with an uncomplicated pregnancy. Fetal hypoxemia and distress followed the event. A causal relationship between the intrapartum use of cocaine and the fetal distress was postulated. Cocaine abusers could benefit from hospitalization early in labor for close surveillance and monitoring, thus avoiding exposure to cocaine and its unpredictable systemic effects.
authors.affiliation: Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York 11219.
authors.forename: L
authors.initials: L
authors.lastname: Sztulman
authors.forename: J J
authors.initials: JJ
authors.lastname: Ducey
authors.forename: M L
authors.initials: ML
authors.lastname: Tancer
mesh_terms: D000328:Adult; D003042:Cocaine / Q000009:adverse effects*; D005260:Female; D005316:Fetal Distress / Q000209:etiology*; D005311:Fetal Hypoxia / Q000209:etiology*; D006801:Humans; D007747:Labor Stage, First; D008431:Maternal-Fetal Exchange; D007744:Obstetric Labor Complications; D010146:Pain / Q000517:prevention & control; D011247:Pregnancy; D012039:Regional Blood Flow / Q000187:drug effects; D019966:Substance-Related Disorders / Q000150:complications*; D014599:Uterus / Q000098:blood supply
chemical_list: D003042:Cocaine