A Practical Approach to Obstetric Anesthesia

• SECTION I PHARMACOLOGY AND PHYSIOLOGY

  • Physiologic Changes of Pregnancy
  • Uteroplacental Drug Transfer, Blood Flow, and Teratogenicity
  • Local Anesthetics and Toxicity
  • Obstetric Medications

  SECTION II ANTEPARTUM CONSIDERATIONS

• Maternal Assessment
• Informed Consent, Documentation, and Medicolegal Issues
• Non-Obstetric Surgery During Pregnancy

SECTION III LABOR AND DELIVERY

Fetal Assessment and Monitoring Maternal Infection and Fever Non-Neuraxial Analgesic Techniques Choice of Neuraxial Analgesia and Local Anesthetics Impact of Analgesia on Labor and Delivery Outcomes Anesthesia for Cesarean Delivery Difficult Airway Management in the Pregnant Patient Anesthesia for Multiple Gestation and Breech Presentation Obstetric Emergencies Amniotic Fluid Embolism Newborn Resuscitation

SECTION IV POSTPARTUM ISSUES

Postcesarean Analgesia Management of Postdural Puncture Headache Neurologic Deficits following Labor and Delivery Postpartum Tubal Ligation

SECTION V DISEASE STATES

Hypertensive Disorders of Pregnancy Endocrine Disorders Thrombophilias/Coagulopathies Cardiac Disease in the Obstetric Patient Neurological and Neuromuscular Disease Renal and Hepatic Disease in the Pregnant Patient Obstetric Anesthesia for Parturients with Respiratory Diseases Obesity and Pregnancy

SECTION VI GUIDELINES FROM NATIONAL ORGANIZATIONS

Guidelines from National Organizations:: American Society of Anesthesiologists, American College of Obstetricians and Gynecologists, and American Academy of Pediatrics

INDEX