Antenatal anaesthetic assessment of the obstetric patient

Abstract: Antenatal anaesthetic assessment clinics allow obstetric anaesthetists to identify patients with serious or potentially serious problems. It entails review of past medical records, performance of detailed history and examination, ordering of investigations and commencement of early intervention. It facilitates patient education and provides opportunities to discuss peripartum management plans with the patient, obstetrician and other specialists. Ideally all pregnant women should have anaesthetic assessment, but this is not feasible because of the prohibitive cost and additional resources required.
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Authors: Tags: Obstetric anaesthesia Source Type: research

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The phrase “sacred masculine” can evoke images of patriarchal religiosity.  But it has a different meaning for today’s guest. For Miguel Dean, the sacred masculine is an ideal, embodied by a man who accepts all of his emotions, understands the connectedness of humanity, and is devoted to helping others. Join us as Miguel explains how the sacred masculine is increasingly being recognized as a new model of masculinity to replace the old ideas of what it meant to be a man. This new man embraces all of his humanity and recognizes that part of this is the courage to feel, express and honor the full spect...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Ethics & Morality General Inspiration & Hope Interview LifeHelper Men's Issues Podcast Relationships Self-Help Spirituality The Psych Central Show Source Type: blogs
ConclusionPBM in obstetrics is based on three main pillars: diagnostic and/or therapeutic interventions during pregnancy, during delivery and in the postpartum phase. These three main pillars should be kept in mind by all professionals taking care of pregnant women, including obstetricians, general practitioners, midwifes, and anaesthesiologists, to improve pregnancy outcome and optimize resources.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
Conclusions: Spinal anesthesia with a median or paramedian approach at cesarean section has no effect on the incidence of PDPH, but we believe that there has been a need for further studies with larger or different patient populations.
Source: Nigerian Journal of Clinical Practice - Category: Rural Health Authors: Source Type: research
Abstract Objective To evaluate the association between the upright and supine maternal positions for birth and the incidence of obstetric anal sphincter injuries (OASIs). Methods Retrospective cohort study analyzed the data of 1,728 pregnant women who vaginally delivered live single cephalic newborns with a birth weight of 2,500 g. Multiple regression analyses were used to investigate the effect of the supine and upright positions on the incidence of OASIs after adjusting for risk factors and obstetric interventions. Results In total, 239 (13.8%) births occurred in upright positions, and 1,489 (86.2%) in supine positions. ...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
Factor XI (FXI), encoded by the F11 gene, has a role as an early initiator upstream of thrombin formation in the traditional cascade model of coagulation.1 FXI also amplifies and sustains coagulation by inhibiting fibrinolysis,2 –4 binding to glycoprotein-1b on the platelet surface and promoting fibrin formation,5 and by interfacing with the kallikrein-kinin system of inflammatory mediators as part of a feedback loop to generate more thrombin after initial clot formation.6,7 In vitro studies have also suggested a potentia l role for FXI in platelet activation and aggregation.
Source: International Journal of Obstetric Anesthesia - Category: Anesthesiology Authors: Tags: Short report Source Type: research
Publication date: Available online 6 November 2019Source: Annals of Medicine and SurgeryAuthor(s): Efrain Riveros-Perez, Sherwin Davoud, Maria Gabriela Sanchez, Hugo Montesinos, Alexander RocutsAbstractIntroductionA common belief has been that obese patients are prone to develop aspiration of gastric contents when general anesthesia is administered. We aimed to determine the correlation between antral cross-sectional area as a surrogate of gastric volume measured by gastric ultrasound, and body mass index (BMI) in term pregnant women scheduled for elective cesarean section.MethodsA cross-sectional observational study was c...
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
til D Abstract Pregnancy is a particularly risky moment for periodontal and oral healthcare. The main diseases encountered are the development or worsening of carious lesions and gestational periodontal diseases such as gingivitis, epulis or gestational periodontitis. There is a lack of knowledge from health professionals and their patients, firstly on the link between poor oral hygiene and the impact on pregnancy, and secondly on the feasibility of oral care during pregnancy. There is a link between periodontal diseases and the increase of premature delivery risk, child with low birth weight and pre-eclampsia. Pe...
Source: Presse Medicale - Category: General Medicine Authors: Tags: Presse Med Source Type: research
ConclusionSurgical indications for pituitary tumors are rare during pregnancy; therefore, surgery should be avoided when possible. Further, the second trimester should be considered as the optimal surgical period. Severe visual disturbance and uncontrolled CD are the main surgical indications during pregnancy.
Source: Pituitary - Category: Endocrinology Source Type: research
CONCLUSIONS: Carbohydrate intake during labor did not modify the rate of instrumental vaginal delivery. PMID: 31702699 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
Authors: El-Radaideh K, Alhowary AA, Alsawalmeh M, Abokmael A, Odat H, Sindiani A Abstract Background: This prospective study compared the blood glucose concentration with spinal anesthesia or general anesthesia in patients undergoing elective cesarean section surgery. Methods: In total, 58 pregnant women who underwent elective cesarean section surgery were included in this prospective comparative study. Group S (n = 35) included patients who chose spinal anesthesia, and group G (n = 23) included patients who chose general anesthesia. The patients were allocated to the groups upon pa...
Source: Anesthesiology Research and Practice - Category: Anesthesiology Tags: Anesthesiol Res Pract Source Type: research
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