Abstract The ideal labor analgesic technique is safe for both the mother and the infant, does not interfere with the progress of labor and delivery, and provides flexibility in response…
Abstract The labor and delivery of a parturient with a multiple gestation and/or fetal breech presentation represents a major challenge for the obstetrician and the anesthesia provider. Anesthetic requirements may…
Abstract Hypertension is the most common medical disorder of pregnancy, affecting 6% to 10% of pregnancies. It is a leading cause of maternal mortality; together with hemorrhage it accounts for…
Abstract Pregnancy commonly results in musculoskeletal complaints. Although these complaints typically are benign and self-limited, symptoms may be disabling in some women. In addition, preexisting musculoskeletal disorders interact with pregnancy…
Abstract The detection and diagnosis of fetal and neonatal brain injury have been advanced by improvements in functional imaging and the identification of potential biochemical markers. Evidence indicates that inflammatory…
Abstract Chronic pain is common among young women, and the prevalence is increasing. This increase has been associated with an upsurge in opioid use, which has, in part, contributed to…
Abstract The transition from intrauterine to extrauterine life represents the most important adjustment that a neonate will make. This transition occurs uneventfully after most deliveries and is dependent on the…
Abstract Endocrine disease during pregnancy is common and can either predate the pregnancy or be diagnosed during the pregnancy. It is important to understand the impact of the pregnancy on…
Abstract Drug therapy during pregnancy can be complex because the physiologic changes of pregnancy may alter drug disposition and effect. Maternal medications may have direct effects on the fetus after…
Abstract The management of critically ill obstetric patients most commonly involves treatment of disease processes that occur as a direct consequence of pregnancy. Although sometimes life-threatening, these conditions are usually…
