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  • Title: Inadvertent administration of prostaglandin E1 instead of prostaglandin F2 alpha in a patient with uterine atony and hemorrhage.
    Author: Reedy MB, McMillion JS, Engvall WR, Sulak PJ, Fisher NL.
    Journal: Obstet Gynecol; 1992 May; 79(5 ( Pt 2)):890-4. PubMed ID: 1565400.
    Abstract:
    A woman underwent cesarean delivery for premature labor, breech presentation, and ruptured membranes. Placenta accreta associated with uterine atony and severe hemorrhage was diagnosed. Prostaglandin E1 instead of prostaglandin F2 alpha was inadvertently administered in an effort to control the hemorrhage. The resulting complications included profound hypotension, disseminated intravascular coagulation, and ventricular tachycardia.
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