Abstract Neuraxial analgesic techniques are the most flexible analgesic techniques available for obstetric patients. The anesthesia provider may use an epidural or spinal technique to provide effective analgesia during the…

Abstract Post–dural puncture headache (PDPH) is one of the most common postpartum complications of neuraxial anesthesia. However, physicians and nurses should be aware that a dural puncture is only one…

Abstract At their core, the experiences of labor and birthing a child are intensely personal, intimate processes for many women, regardless of culture or background. While anesthesia providers may have…

Abstract In 1916, Edward Cragin stated, “Once a cesarean, always a cesarean.” This edict has had a profound effect on obstetric practice in the United States. The cesarean delivery rate…

Abstract The art and science of neuraxial anesthesia requires a thorough appreciation of neuroanatomy and the physiologic effects imposed by medications commonly administered via the spinal and/or epidural route. Successful…

Abstract Local anesthetics and opioids are often used for pain relief in obstetric practice. Local anesthetics may be used for infiltration anesthesia, peripheral (pudendal) nerve block, or neuraxial block, whereas…

Abstract Despite the application of ART procedures to a greater diversity of infertility causes, the probability of a live birth after a cycle of hormonal stimulation has increased from 6%…

Abstract Obstetric disease of early pregnancy may result in significant maternal morbidity and even mortality. Safe care of patients with obstetric disease involves a thorough understanding of the physiologic changes…

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…