Through six outstanding editions, Dr. David Chestnut’s Obstetric Anesthesia has earned its reputation as the leading reference in the field. The fully revised Seventh Edition continues this tradition of excellence, offering comprehensive, user-friendly, and authoritative clinical information you need to provide optimal care to your patients. From basic science to new research and improved anesthesia techniques to the management of complications, the expert editorial team and contributing authors offer complete coverage of the physiology and pharmacology of obstetric anesthesia for both healthy and high-risk pregnancies. This updated edition remains a must-have resource for obstetric anesthesiologists and obstetricians, nurse anesthetists and anesthesiology assistants, and anesthesiology and obstetric residents and students.
PART I Introduction 1. The History of Obstetric Anesthesia
PART II Maternal and Fetal Physiology 2. Physiologic Changes of Pregnancy 3. Uteroplacental Blood Flow 4. The Placenta: Anatomy, Physiology, Transfer of Drugs, and Pathology
PART III Fetal and Neonatal Assessment and Therapy 5. Fetal Physiology 6. Antepartum Fetal Assessment and Therapy 7. Anesthesia for Fetal Surgery and Other Intrauterine Procedures 8. Intrapartum Fetal Assessment and Therapy 9. Neonatal Assessment and Resuscitation 10. Fetal and Neonatal Neurologic Injury 11. Quality, Patient Safety, and Medical Error
PART IV Foundations in Obstetric Anesthesia 12. Spinal and Epidural Analgesia and Anesthesia: Anatomy, Physiology, and Technique 13. Local Anesthetics and Opioids 14. Racial and Ethnic Disparities in Obstetric Anesthesia Care 15. Obstetric Anesthesia in Low- and Middle-Income Countries
PART V Anesthesia Before and During Pregnancy 16. Pharmacology During Pregnancy and Lactation 17. Problems of Early Pregnancy 18. Nonobstetric Surgery During Pregnancy
PART VI Labor and Vaginal Delivery 19. Obstetric Management of Labor and Vaginal Delivery 20. Trial of Labor and Vaginal Birth After Cesarean Delivery 21. The Pain of Childbirth and Its Effect on the Mother and the Fetus 22. Childbirth Preparation and Nonpharmacologic Analgesia 23. Systemic and Nonneuraxial Regional Labor Analgesia 24. Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery 25. Postpartum Tubal Sterilization
PART VII Cesarean Delivery 26. Anesthesia for Cesarean Delivery 27. Postoperative Analgesia
PART VIII Anesthesia Complications 28 Aspiration: Risk, Prophylaxis, and Treatment 29 The Difficult Airway: Risk, Assessment, Prophylaxis, and Management 30 Postpartum Headache 31 Neurologic Complications of Pregnancy and Neuraxial Anesthesia 32 Shared Decision-Making and Informed Consent in Obstetric Anesthesia
PART IX Obstetric Complications 33. Preterm Labor and Delivery 34. Abnormal Presentation and Multiple Gestation 35. Hypertensive Disorders 36. Infection 37. Antepartum and Postpartum Hemorrhage 38. Embolic Disorders 39. Maternal Mortality
PART X The Patient With Systemic Disease 40. Autoimmune Disorders 41. Cardiovascular Disease 42. Chronic Pain During and After Pregnancy 43. Endocrine Disorders 44. Hematologic and Coagulation Disorders 45. Liver Disease 46. Musculoskeletal Disorders 47. Neurologic and Neuromuscular Disease 48. Obesity 49. Psychiatric Disorders 50. Renal Disease 51. Respiratory Disease 52. Substance Use Disorders 53. Trauma and Critical Care
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