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