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Reviewer Acknowledgement 2023
The Editors would like to acknowledge the following people for their expert assistance in evaluating manuscripts between January 2023 and December 2023. We apologize for any omissions, which are unintentional, and sincerely thank all reviewers for their continued support. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 22, 2024 Category: Anesthesiology Source Type: research

Adult Attachment Style as a Predictor for Post-Cesarean Pain: A Pilot Study
Cesarean delivery (CD) is the most common major surgery in North America, and postoperative pain may affect a woman ’s ability to care for herself and her baby.1 Many factors can influence postoperative pain and recovery.2 Adult Attachment Style (AAS) refers to a person’s feeling in their close relationships, and has been shown to correlate with pain intensity and chronic pain conditions.3,4 Women with insecu re attachment style have been reported to experience more pain during labour, but the correlation between AAS and postoperative CD pain has not been studied. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 10, 2024 Category: Anesthesiology Authors: J. Querney, Y. Li, A. Li, S.I. Singh, P.M. Jones, A. Dobrowlanski, Y. Symons, I. Sebbag Tags: Correspondence Source Type: research

Association of free maternal and fetal ropivacaine after epidural analgesia for intrapartum caesarean delivery: a prospective observational trial
Local anaesthetics are commonly used in epidural analgesia to treat labour pain.1 The local anaesthetic enters the maternal circulation through absorption from the epidural space and may subsequently lead to fetal exposure.2 –4 Ropivacaine is an amide local anaesthetic5 and a standard drug in obstetric anaesthesia.1 It is present in plasma in both protein-bound and free forms, with the free form being the potentially toxic agent6 (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 10, 2024 Category: Anesthesiology Authors: J. Amian, C.F. Weber, M. Sonntagbauer, L. Messroghli, F. Louwen, H. Buxmann, A. Paulke, K. Zacharowski Tags: Original Article Source Type: research

Labor induction and use of labor analgesia: a nationwide register-based analysis in Finland
The incidence of labor induction is rapidly increasing around the world.1,2 The literature studying the use of labor analgesia among women with labor induction is limited to a few studies. A 2018 study found a higher rate of use of epidural analgesia among women with labor induction, which could be due to more intense pain experienced at an earlier stage in labor.3,4 A prospective study published in 2011 reported that experiencing painful contractions eight hours after labor induction using an initial dose of misoprostol was an indicator of successful labor induction. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 10, 2024 Category: Anesthesiology Authors: M. Vaajala, M. Kekki, V.M. Mattila, I. Kuitunen Tags: Correspondence Source Type: research

Adult attachment style as a predictor for post-caesarean pain: a pilot study
Cesarean delivery (CD) is the most common major surgery in North America, and postoperative pain may affect a woman ’s ability to care for herself and her baby.1 Many factors can influence postoperative pain and recovery.2 Adult Attachment Style (AAS) refers to a person’s feeling in their close relationships, and has been shown to correlate with pain intensity and chronic pain conditions.3,4 Women with insecu re attachment style have been reported to experience more pain during labour, but the correlation between AAS and postoperative CD pain has not been studied. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 10, 2024 Category: Anesthesiology Authors: Jill Querney, Yueyang Li, Allen Li, Sudha Indu Singh, Philip M Jones, Aldo Dobrowlanski, Yahui Symons, Ilana Sebbag Tags: Correspondence Source Type: research

Successful antepartum de-labelling of local anaesthetic allergy in a parturient with a self-reported allergy to amide and ester local anaesthetics
When a pregnant patient is diagnosed with a local anaesthetic (LA) allergy, it may preclude the use of neuraxial techniques, which are the current gold standard for labour analgesia and anaesthesia in the obstetric population.1 In practice, some of the reported “allergies” occurred during childhood with unclear medical history, and it can be difficult for clinicians to obtain clinical details from other medical institutions. The use of LA allergy testing may be an option for anaesthetists to potentially remove the allergy label from patients with uncle ar reaction histories. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 10, 2024 Category: Anesthesiology Authors: E Yamaguchi, R ffrench O'Carroll, A Chau, R Preston Tags: Correspondence Source Type: research

A narrative review of the literature relevant to obstetric anesthesiologists: the 2023 Gerard W. Ostheimer lecture
The obstetric anesthesiologist has an expanding role as a peri-operative physician, with the potential to contribute towards reducing maternal and neonatal morbidity and mortality. This narrative review aims to summarize recent literature of relevance to anesthesiologists that addresses antenatal care, anesthesia and analgesia, and the postpartum period. Findings with the potential to impact maternal and neonatal outcomes are summarized from contemporary reports, and knowledge gaps and future research priorities are highlighted. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 3, 2024 Category: Anesthesiology Authors: P. Sultan Tags: Review Article Source Type: research

A narrative review of the literature relevant to obstetric anesthesiologists: the 2022 Gerard W. Ostheimer lecture
The obstetric anesthesiologist has an expanding role as a peri-operative physician, with the potential to contribute towards reducing maternal and neonatal morbidity and mortality. This narrative review aims to summarize recent literature of relevance to anesthesiologists that addresses antenatal care, anesthesia and analgesia, and the postpartum period. Findings with the potential to impact maternal and neonatal outcomes are summarized from contemporary reports, and knowledge gaps and future research priorities are highlighted. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 3, 2024 Category: Anesthesiology Authors: P. Sultan Tags: Review Article Source Type: research

Recent trends in the density of Peruvian physician anesthesia providers and their regional distribution
I would like to comment on the density of physician anesthesia providers (PAPs) in Peru, mentioned in the original article by Fernandes et al. “Global obstetric anesthesia: bridging the gap in maternal health care inequities through partnership in education.”1 (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 2, 2024 Category: Anesthesiology Authors: C.J. Shiraishi-Zapata Tags: Correspondence Source Type: research

“Recent trends in the density of Peruvian physician anesthesia providers and their regional distribution”
I would like to comment on the density of physician anesthesia providers (PAPs) in Peru, mentioned in the original article by Fernandes et al. “Global obstetric anesthesia: bridging the gap in maternal health care inequities through partnership in education.”1 (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 2, 2024 Category: Anesthesiology Authors: CJ Shiraishi-Zapata Tags: Correspondence Source Type: research

A retrospective cohort study of the anesthetic management of postpartum tubal ligation
Postpartum tubal ligation (PPTL) is one of the most popular methods of contraception in the United States of America (USA).1 The American College of Obstetricians and Gynecologists (ACOG) has recommended that PPTL be considered an urgent procedure due to the limited time frame in which it can be performed and the high incidence of unplanned pregnancy with a missed procedure.2 New restrictions on abortions may increase the use of PPTL to an even greater extent. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - January 2, 2024 Category: Anesthesiology Authors: J. Ansari, M. Sheikh, E. Riley, N. Guo, A. Traynor, B. Carvalho Tags: Original Article Source Type: research

Spinal anaesthesia for caesarean section in a patient with eclampsia and posterior reversible encephalopathy syndrome
We present a case of eclampsia and PRES in which the choice between general anaesthesia (GA) and RA was difficult, as a discussion with the patient regarding spinal anaesthesia and the level of block was not possible because of her reduced Glasgow Coma Score (GCS). (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - December 19, 2023 Category: Anesthesiology Authors: J. Kielty, M. Carton, N. Hayes, A. Ni Eochagain Tags: Correspondence Source Type: research

Is crystalloid co-loading necessary to prevent spinal hypotension during elective cesarean delivery? A randomized double-blind trial
In recent years, our understanding of the physiologic changes in pregnant women undergoing elective cesarean delivery under spinal anesthesia has evolved and the management of spinal hypotension has changed. An outstanding question that remains unresolved is the need for crystalloid co-loading for spinal anesthesia, especially with the current practice of prophylactic phenylephrine infusion. While maintaining cardiac output (CO) is important for adequate uterine perfusion,1 we also know that excessive intravenous fluids can lead to increased cardiovascular work and even pulmonary edema in susceptible pregnant women, such a...
Source: International Journal of Obstetric Anesthesia - December 13, 2023 Category: Anesthesiology Authors: B.S. Buddeberg, E. Seeberger, C. Bl äsi, G. Dutilh, L.A. Steiner, O. Bandschapp, A. Palanisamy, T. Girard Tags: Original Article Source Type: research

Observational study of peripheral skin temperature changes following spinal anaesthesia for caesarean birth
Neuraxial anaesthesia and analgesia is the mainstay of obstetric anaesthetic practice. In England, 44.6% of all childbirth episodes involve a spinal or epidural procedure to provide analgesia in labour or anaesthesia for a caesarean birth, with 97.3% of all caesarean births conducted using neuraxial anaesthesia.1 The benefits of spinal anaesthesia as choice of anaesthesia for a caesarean birth include allowing the mother to be conscious at the birth of her baby to support early maternal-baby bonding, avoiding the risks of general anaesthesia and facilitating good quality postoperative analgesia to allow earlier postoperati...
Source: International Journal of Obstetric Anesthesia - December 13, 2023 Category: Anesthesiology Authors: L. Kessack, G. Davenport, C. McGlennan, J.H. Bamber Tags: Original Article Source Type: research

Dexamethasone for postoperative nausea and vomiting prophylaxis in cesarean delivery and a delayed diagnosis of neonatal congenital adrenal hyperplasia
Classical congenital adrenal hyperplasia (CAH) occurs in 1 in 10 000 –20 000 births, with approximately 95% of the cases due to 21-hydroxylase deficiency.1 Congenital adrenal hyperplasia results in decreased glucocorticoid and mineralocorticoid production with excess adrenal sex steroids. Untreated, it can result in salt wasting, failure to thrive, and potentially fatal adrenal crisis. The 46,XX infants present with virilized genitalia, ranging from clitoromegaly and/or labial fusion to development of a full phallus, thus raising suspicion for CAH upon initial examination. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - December 12, 2023 Category: Anesthesiology Authors: A.C. Waselewski, T.T. Klumpner, J.A. Kountanis, E.S. Sandberg, D.E. Shumer Tags: Case Report Source Type: research