By Steve Yentis, Surbhi Malhotra
A completely up to date variation of this well-established functional advisor to obstetric analgesia and anaesthesia initially released through W. B. Saunders. All elements of obstetric drugs correct to the anaesthetist are coated, from perception, all through being pregnant, to after beginning care. The emphasis is on pre-empting difficulties and maximising caliber of care. The authors have pointed out over one hundred fifty power issues every one lined in sections: matters raised and administration recommendations, with key issues extracted into bins for fast reference. a piece on organisational elements akin to list conserving, education, protocols and instructions makes this a huge source for any labour ward or medical institution facing pregnant ladies. offered in a transparent, dependent structure, this e-book might be important to trainee anaesthetists in any respect degrees and to skilled anaesthetists who stumble upon obstetric sufferers. Obstetricians, neonatologists, midwives, nurses and working division practitioners wishing to increase or replace their wisdom also will locate it hugely worthwhile.
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Extra info for Analgesia, Anaesthesia and Pregnancy: A Practical Guide
Third stage of labour The third stage of labour is the complete delivery of the placenta and membranes and the contraction of the uterus. It is usually managed actively by administering an oxytocic as above, but it may also be managed physiologically without oxytocics. This may prolong the third stage and increase the risk of postpartum haemorrhage. 14 Gastric function and feeding in labour 35 During the third stage of labour there is a major redistribution of (and increase in) maternal circulating blood volume.
Venous drainage is via the internal iliac, intercostal, azygos and vertebral veins. Peripheral nerves of the lower body The lumbar and sacral plexi are shown schematically in Fig. 5. They form at the posterior of the pelvis, and their branches pass round the interior of the pelvis where they may be exposed to pressure during labour and delivery (Fig. 6; see also Chapter 50, Peripheral nerve lesions following regional anaesthesia, p. 128). Peripheral cutaneous innervation may be characterised according to the dermatomal distribution or peripheral nerves (Fig.
14 G A S T R I C FU N C T I O N A N D F E E D I N G I N LA B O U R Physiological changes in pregnancy affect the volume, acidity and emptying of gastric secretions as well as sphincter mechanisms in the lower oesophagus. Interventions in labour such as analgesia may also affect these changes adversely. General anaesthesia is occasionally necessary in emergency situations, and the presence of a full stomach (and thus the risk of aspiration of gastric contents) should always be assumed in such patients (see Chapter 56, Aspiration of gastric contents, p.
Analgesia, Anaesthesia and Pregnancy: A Practical Guide by Steve Yentis, Surbhi Malhotra