International Journal of Obstetric Anesthesia This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Surgical sensation during caesarean section: a qualitative analysis
Caesarean section (CS) is a major surgery performed on young and often healthy patients. It is a significant and emotional milestone. Neuraxial anaesthesia is the preferred anaesthetic for CS because it has a better safety profile, avoids airway management, decreases blood loss, improves postoperative analgesia, and decreases neonatal drug exposure compared with general anaesthesia.1 It allows the patient and partner to experience the delivery, enhancing parent-baby bonding,1 but has many well described risks, including hypotension leading to nausea, shivering, post-dural puncture headache, nerve injury, and failure to ach...
Source: International Journal of Obstetric Anesthesia - October 9, 2023 Category: Anesthesiology Authors: A Jiang, T Perry, K Walker, A Burfoot, L Patterson Tags: Original Article Source Type: research

Effect of pre-operative patient anxiety on post-spinal shivering during elective cesarean section: a prospective observational study
Intra-operative shivering is common in patients undergoing cesarean delivery (CD) under neuraxial anesthesia, with a reported incidence of 36% to71%.1 Unlike post-spinal shivering in non-obstetric patients, data from obstetric surgical patients are limited.2 –4While post-spinal shivering is traditionally understood as a thermoregulatory response to sympathectomy below the level of the spinal block, there is growing evidence to suggest that this phenomenon could be affected by anxiety states.5–6Anxiety-induced autonomic changes could alter inputs to and from the thermoregulatory center, thereby affecting the incidence a...
Source: International Journal of Obstetric Anesthesia - October 9, 2023 Category: Anesthesiology Authors: S Jeevan, V Ashok, K Jain, V Jain Tags: Original Article Source Type: research

Diagnosis and management of a ruptured 20-week anencephalic cornual ectopic pregnancy undergoing termination: implications of interstate travel due to restrictive abortion law
In the United States of America (USA), following the Supreme Court Dobbs vs. Jackson Women ’s Health Organization decision in June 2022, an ongoing state-by-state shift in the landscape of medical care for pregnant persons exists, with broad implications for patients with complex pregnancies with potentially life-altering or life-limiting diagnoses. New legislation in many states bans p regnancy termination at all stages of pregnancy, with narrow exemptions for the life of pregnant people. Many of these laws also outlaw abortion without exception for rape or incest. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - September 29, 2023 Category: Anesthesiology Authors: O.M. Sutton, D.J. Berman, A.J. Vaught, J. Bradshaw, R.A. Johns Tags: Case Report Source Type: research

Total intravenous anaesthesia for caesarean delivery: incidence, maternal and neonatal outcomes from a tertiary unit
Caesarean delivery (CD) is the most common operative procedure performed in obstetrics. National figures from the United Kingdom (UK) show that approximately 8.7% of all CDs in the UK are performed using a general anaesthetic (GA) technique.1 Traditionally, a CD with a GA is performed with an intravenous (IV) induction drug, followed by maintenance of anaesthesia with a volatile anaesthetic. The use of total intravenous anaesthesia (TIVA) in the non-obstetric population is increasing in the UK.2 Patient benefits of TIVA in a non-obstetric setting include better quality of recovery, lower postoperative pain, decreased nause...
Source: International Journal of Obstetric Anesthesia - September 29, 2023 Category: Anesthesiology Authors: U. Javed, K. Bhatia Tags: Correspondence Source Type: research

A survey of United States obstetric anesthesiologists ’ perceived value of obstetric anesthesiology fellowship
In the United States of America (USA), subspecialty training in obstetric anesthesiology is associated with improved patient outcomes and reduced anesthesia-related morbidity and mortality.1,2 The 2015 consensus statement defining levels of maternal care by the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) promotes regionalization of high-risk obstetric services to improve maternal outcomes.3 The consensus statement proposes staffing models for each level of perinatal birth center. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - September 15, 2023 Category: Anesthesiology Authors: C. Thomas, K.E. Neumann, C. Smith, J.E. Dominguez, A. Traynor, M.K. Farber, M. Zakowski, R.J. McCarthy, F.M. Peralta Tags: Short Report Source Type: research

A survey of Unites States obstetric anesthesiologists ’ perceived value of obstetric anesthesiology fellowship
In the United Staes of America (USA), subspecialty training in obstetric anesthesiology is associated with improved patient outcomes and reduced anesthesia-related morbidity and mortality.1 –2 The 2015 consensus statement defining levels of maternal care by the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) promotes regionalization of high-risk obstetric services to improve maternal outcomes.3 The consensus statement prop oses staffing models for each level of perinatal birth center. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - September 15, 2023 Category: Anesthesiology Authors: C. Thomas, K.E. Neumann, C. Smith, J.E. Dominguez, A. Traynor, M.K. Farber, M. Zakowski, R.J. McCarthy, F.M. Peralta Tags: Short Report Source Type: research

Calculation of effective dose of phenylephrine bolus for treatment of post-spinal hypotension in pre-eclamptic patients undergoing caesarean section – a non-randomised controlled trial
Pre-eclampsia is a hypertensive disorder associated with increased maternal and fetal morbidity and mortality.1 In pre-eclampsia, post-spinal hypotension is less common and less severe,2,3 however if it occurs, especially for more than two minutes, it can exacerbate the adverse effects on the fetus by affecting uteroplacental blood flow and increasing oxygen free radicals in the fetoplacental circulation.4 The mother can also have nausea, vomiting, dizziness or cardiovascular instability, so prompt treatment of hypotension is important for good maternal and neonatal outcomes. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - September 14, 2023 Category: Anesthesiology Authors: M. Mohta, S. Kumari, R.K. Malhotra, A. Tyagi, R. Agarwal Tags: Original Article Source Type: research

Where is obstetric anesthesiology heading in the next decade? An Eastern European perspective
European countries of “Eastern Block” origin had different economic and healthcare development trajectories after the Berlin Wall fell. In this paper we present the obstetric anesthesia perspective of four different countries, namely Latvia, Poland, the Russian Federation (RF) and Serbia. The differences result from political and economic conditions. Latvia and Poland are European Union (EU) members and are classified as high-income economies. The RF is a non-EU country classified as an upper-middle income economy, but the recent invasion of Ukraine has resulted in the country's isolation and has had an economi c impac...
Source: International Journal of Obstetric Anesthesia - September 14, 2023 Category: Anesthesiology Authors: I. Golubovska, C. Palmer, A. Ronenson, E. Shifman, M. Sarkele, N. Pejcic, I. Velickovic, B. Pujic, P. Krawczyk Source Type: research

Risk factors for recurrence of post-dural puncture headache following an epidural blood patch: a retrospective cohort study
Neuraxial analgesia and anaesthesia is widely used to control pain during labour and delivery. Approximately 55% of women in the United Kingdom, 60% in Canada, 65% in the United States of America (USA) and 82% in France give birth under neuraxial anaesthesia.1 –4 One of the most common and serious complications is post-dural puncture headache (PDPH). 5 This occurs in 0.38-6.3% of neuraxial procedures6–9 and is a common cause of litigation in the USA.10 Post-dural puncture headache causes severe discomfort and can lead, in some circumstances, to second ary brain injuries. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - September 14, 2023 Category: Anesthesiology Authors: S. Tomala, G.L. Savoldelli, I. Pichon, G. Haller Tags: Original Article Source Type: research

Novice learners ’ perspectives on obstetric airway crisis decision-making training using virtual reality simulation
The reported incidence of failed tracheal intubation at cesarean section ranges between 1:238 and 1:808.1 –5 It has remained unchanged in the last four decades despite advances in airway equipment, implementation of training curricula, and publications of difficult airway algorithms. Most failed intubations in obstetric cases occur after normal work hours in the hands of trainee anaesthetists.2,4,6 Fa iled intubation is associated with a mortality of 1 in 90.1 During the last three decades, there has also been a decline in the number of obstetric cases conducted under general anesthesia as neuraxial anesthesia has become...
Source: International Journal of Obstetric Anesthesia - September 14, 2023 Category: Anesthesiology Authors: J. Chan, C. Chan, P. Chia, R. Goy, B.L. Sng Tags: Original Article Source Type: research

Outcomes and outcome measures utilised in randomised controlled trials of postoperative caesarean delivery pain: a scoping review
Internationally, approximately 140 million women experience childbirth every year. The rate of caesarean delivery (CD) continues to rise globally, estimated to reach nearly a third of all births by 2030.1 As a major abdominal surgery, CD can impact postpartum and long-term health.2,3 Despite the frequency and familiarity of CD, adequate management of postoperative pain after CD remains a challenge.4,5 Poorly managed pain after CD predicts a higher risk of persistent pain, postpartum depression and opioid dependence in women. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - September 14, 2023 Category: Anesthesiology Authors: S. Ciechanowicz, J. Kim, K. Mak, L. Blake, B. Carvalho, P. Sultan Tags: Review Article Source Type: research

Obstetric anaesthesiology: manpower and service provision issues in India
An efficient obstetric anaesthesiology service requires cohesive and well-trained manpower, a consistent supply of essential drugs and equipment, and adequate infrastructural support led by anaesthesiologists working in tandem with obstetricians. Standardizing strategies, focussing on checklists and protocols, enhances patient safety, and regular audits assist in identifying barriers related to service provision issues. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - September 14, 2023 Category: Anesthesiology Authors: S. Gupta, A. Grewal, K. Jain Source Type: research

Calculation of initial effective bolus dose of phenylephrine for treatment of post-spinal hypotension in patients with pre-eclampsia undergoing caesarean section: a non-randomised controlled trial
Pre-eclampsia is a hypertensive disorder associated with increased maternal and fetal morbidity and mortality.1 In pre-eclampsia, post-spinal hypotension is less common and less severe,2,3 however if it occurs, especially for more than two minutes, it can exacerbate the adverse effects on the fetus by affecting uteroplacental blood flow and increasing oxygen free radicals in the fetoplacental circulation.4 The mother can also have nausea, vomiting, dizziness or cardiovascular instability, so prompt treatment of hypotension is important for good maternal and neonatal outcomes. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - September 14, 2023 Category: Anesthesiology Authors: M. Mohta, S. Kumari, R.K. Malhotra, A. Tyagi, R. Agarwal Tags: Original Article Source Type: research

Where is obstetric anaesthesiology heading in the next decade? An Eastern European perspective
European countries of “Eastern Block” origin had different economic and healthcare development trajectories after the Berlin Wall fell. In this paper we present the obstetric anesthesia perspective of four different countries, namely Latvia, Poland, the Russian Federation (RF) and Serbia. The differences result from political and economic conditions. Latvia and Poland are European Union (EU) members and are classified as high-income economies. The RF is a non-EU country classified as an upper-middle income economy, but the recent invasion of Ukraine has resulted in the country's isolation and has had an economi c impac...
Source: International Journal of Obstetric Anesthesia - September 14, 2023 Category: Anesthesiology Authors: I. Golubovska, C. Palmer, A. Ronenson, E. Shifman, M. Sarkele, N. Pejcic, I. Velickovic, B. Pujic, P. Krawczyk Source Type: research

Role of cosyntropin in the prevention of post-dural puncture headache: a propensity-matched retrospective analysis
Post-dural puncture headache (PDPH) is a well-documented complication of accidental dural puncture during epidural placement in obstetric patients, with occurrence rate up to 85% .1 It is often debilitating and may interfere with the mother ’s ability to take care of herself or bond with her newborn in the immediate postpartum period. This significant maternal morbidity may potentially lead to extended length of hospital stay for both the mother and the baby.2 In a retrospective case-control study, Webb et al. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - August 11, 2023 Category: Anesthesiology Authors: M. Liu, A. Mitchell, A. Palanisamy, P.M. Singh Tags: Short Report Source Type: research