Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-22T10:37:25.810Z Has data issue: false hasContentIssue false

Chapter 1 - Obstetric Anesthesia for the Parturient with Complex Medical Diseases

Published online by Cambridge University Press:  26 January 2024

By
Jack M. Peace  and
Feyce M. Peralta
Edited by
David R. Gambling ,
M. Joanne Douglas  and
Grace Lim
David R. Gambling
Affiliation:
University of California, San Diego
M. Joanne Douglas
Affiliation:
University of British Columbia, Vancouver
Grace Lim
Affiliation:
University of Pittsburgh
Get access

Summary

This chapter will outline the role of the obstetric anesthesiologist in caring for the parturient with a complex medical disease, the importance of early obstetric anesthesia consultation, and the value of establishing a multidisciplinary care team for the management of these patients. It also offers different tools for putting into action a care plan for a complex patient.

Keywords

Anesthesia consultationcomplex parturientmultidisciplinary care team
Type
Chapter
Information
Obstetric Anesthesia and Uncommon Disorders , pp. 1 - 5
Publisher: Cambridge University Press
Print publication year: 2024

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Creanga, AA, Syverson, C, Seed, K, et al. Pregnancy-related mortality in the United States, 2011–2013. Obstet Gynecol 2017;130:366–373.Google Scholar
Mhyre, JM, Bateman, BT, Leffert, LR. Influence of patient comorbidities on the risk of near-miss maternal morbidity or mortality. Anesthesiology 2011;115:963–972.Google Scholar
Wanderer, JP, Leffert, LR, Mhyre, JM, et al. Epidemiology of obstetric-related ICU admissions in Maryland: 1999–2008*. Crit Care Med 2013;41:1844–1852.Google Scholar
Davis, NL, Smoots, AN, Goodman, DA. Pregnancy-Related Deaths: Data from 14 U.S. Maternal Mortality Review Committees, 2008–2017. In: Centers for Disease Control and Prevention USDoHaHS, ed. Atlanta, GA2019.Google Scholar
Lim, G, Facco, FL, Nathan, N, et al. A review of the impact of obstetric anesthesia on maternal and neonatal outcomes. Anesthesiology 2018;129:192–215.Google Scholar
Abir, G, Mhyre, J. Maternal mortality and the role of the obstetric anesthesiologist. Best Pract Res Clin Anaesthesiol 2017;31:91–105.Google Scholar
Arnolds, DE. Maternal safety: recent advances and implications for the obstetric anesthesiologist. Curr Opin Anaesthesiol 2020;33:793–799.Google Scholar
Practice Bulletin, No. 177. Obstetric analgesia and anesthesia. Obstet Gynecol 2017;129:e73–e89.Google Scholar
Padilla, CR. The obstetric anesthesia consultation: why the physician anesthesiologist consultation during pregnancy should be standard of care. ASA Monitor 2016;80:60–62.Google Scholar
Duarte, SS, Nguyen, TT, Koch, C, et al. Remote obstetric anesthesia: leveraging telemedicine to improve fetal and maternal outcomes. Telemed J E Health 2020;26:967–972.Google Scholar
Carvalho, B, Mhyre, JM. Centers of Excellence for anesthesia care of obstetric patients. Anesth Analg 2019;128:844–846.Google Scholar
O’Neal, MA. Obstetric anaesthesia: what a neurologist needs to know. Pract Neurol 2019;19:238–245.Google Scholar
Marynen, F, Van Gerven, E, Van de Velde M. Simulation in obstetric anesthesia: an update. Curr Opin Anaesthesiol 2020;33:272–276.Google Scholar
Shields, LE, Wiesner, S, Klein, C, et al. Use of maternal early warning trigger tool reduces maternal morbidity. Am J Obstet Gynecol 2016;214: 527.e1–527.e6.Google Scholar
Douglas, RN, Stephens, LS, Posner, KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth 2021;127:470–478.Google Scholar
Mangoubi, E, Livne, MY, Eidelman, LA, et al. No longer rare diseases and obstetric anesthesia. Curr Opin Anaesthesiol 2019;32:271–277.Google Scholar
Hamilton, BE, Hoyert, DL, Martin, JA, et al. Annual summary of vital statistics: 2010–2011. Pediatrics 2013;131:548–558.Google Scholar
Brenck, F, Hartmann, B, Katzer, C, et al. Hypotension after spinal anesthesia for cesarean section: identification of risk factors using an anesthesia information management system. J Clin Monit Comput 2009;23:85–92.Google Scholar
Iezzoni, LI, Yu, J, Wint, AJ, et al. Prevalence of current pregnancy among US women with and without chronic physical disabilities. Med Care 2013;51:555–562.Google Scholar
Smeltzer, SC, Wint, AJ, Ecker, JL, et al. Labor, delivery, and anesthesia experiences of women with physical disability. Birth 2017;44:315–324.Google Scholar
Rubenstein, E, Ehrenthal, DB, Mallinson, DC, et al. Pregnancy complications and maternal birth outcomes in women with intellectual and developmental disabilities in Wisconsin Medicaid. PLoS One 2020;15:e0241298.Google Scholar
McCoun, KT, Fragneto, RY. Cancer and pregnancy: a difficult combination requiring multidisciplinary care. J Clin Anesth 2012;24:521–523.Google Scholar
Tharmaratnam, U, Balki, M. Anesthetic management during labor and delivery: a 21-year review of women with cancer in a tertiary care center. J Clin Anesth 2012;24:524–530.Google Scholar
Petersen, EE, Davis, NL, Goodman, DA, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011–2015, and Strategies for Prevention, 13 States, 2013–2017. Published 2019. Atlanta, GA: Centers for Disease Control and Prevention.Google Scholar
Minehart, RD, Jackson, J, Daly, J. Racial differences in pregnancy-related morbidity and mortality. Anesthesiol Clin 2020;38:279–296.Google Scholar
Hoffkling, A, Obedin-Maliver, J, Sevelius, J. From erasure to opportunity: a qualitative study of the experiences of transgender men around pregnancy and recommendations for providers. BMC Pregnancy Childbirth 2017;17(Suppl. 2):332.Google Scholar
Light, AD, Obedin-Maliver, J, Sevelius, JM, et al. Transgender men who experienced pregnancy after female-to-male gender transitioning. Obstet Gynecol 2014;124:1120–1127.CrossRefGoogle ScholarPubMed
Taylor, MG, Scott, PM, Premkumar, A, et al. Peripartum considerations for the transgender parturient: a case report. A A Pract 2021;15:e01332.Google Scholar
Metzger, L, Teitelbaum, M, Weber, G, et al. Complex pathology and management of the obstetric patient: a narrative review for the anesthesiologist. Cureus 2021;13:e17196.Google Scholar
Einav, S, Leone, M. Epidemiology of obstetric critical illness. Int J Obstet Anesth 2019;40:128–139.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×