Obstetric Anesthesia: Principles and Practice

Part 1 Basic considerations: physiologic changes of pregnancy anaesthesia and uteroplacental blood flow spinal and epidural anaesthesia local anaesthetics - physiology and pharmacology drugs during pregnancy and lactation.

Abstract

Part 1 Basic considerations: physiologic changes of pregnancy anaesthesia and uteroplacental blood flow spinal and epidural anaesthesia local anaesthetics - physiology and pharmacology drugs during pregnancy and lactation. Part 2 The foetus and the neonate: foetal physiology antepartum foetal assessment and therapy intrapartum foetal assessment and therapy neonatal assessment and resuscitation. Part 3 Labour and vaginal delivery: approach to the pregnant patient obstetric management of labour and vaginal delivery childbirth preparation and non-pharmacologic analgesia systemic opioid analgesia inhalation analgesia and ketamine paracervical block, pudendal block and perineal infiltration lumbar and caudal epidural analgesia/anesthesia epidural analgesia, the progress of labour and the method of delivery spinal analgesia/anaesthesia trial of labour after previous Cesarean section. Part 4 Cesarean section: epidural and spinal anaesthesia for Cesarean section general anaesthesia for Cesarean section anaesthesia for foetal distress the patient with a difficult airway post-operative analgesia - systemic opioid techniques post-operative analgesia - epidural and spinal techniques. Part 5 Anaesthetic complications: medicolegal risks obstetric anaesthesia standards and guidelines obstetric anaesthesia intrapartum complications of regional anaesthesia dural puncture headache neurologic complications of regional anaesthesia. Part 6 Obstetric complications: preterm labour and delivery breech presentation and multiple gestation the patient with fever and/or infection antepartum and post partum haemorrhage shoulder dystocia, uterine inversion and retained placenta embolic phenomena. Part 7 The parturient with systemic disease: cardiovascular disease endocrine disorders haematologic disorders hepatic and renal disease human immunodeficiency virus hypertensive disorders of pregnancy immunologic disorders malignant hyperthermia neurologic and neuromuscular disorders obesity orthopaedic disorders respiratory disorders substance abuse trauma. Part 8 Non-obstetric surgery before, during and after pregnancy: in vitro fertilization problems of early pregnancy non-obstetric surgery during pregnancy postpartum tubal sterilization.