To the Editor:—
In the March 23 issue of The Journal (183:989) an article titled "Cardiopulmonary Considerations in Nonfatal Amniotic Fluid Embolism," by Capt M. M. Scott, MC, is presented. On page 992 the following statement is made: "Rapid or tumultuous labor, or labor induced by membrane rupture and oxytocin, favors amniotic fluid embolism."I am at a complete loss as to why Dr. Scott feels that labor induced by membrane rupture or oxytocin favors amniotic fluid embolism. I am also unable to verify this in the literature pertaining to amniotic fluid embolism. Is there any experimental evidence that would support such a claim? If this cannot be supported by experimental evidence or clinical observation, a statement to this effect would be particularly appreciated by me and, I am sure, by the readers of The Journal who are interested in obstetrics.