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.

Anesthesiology resident preferences regarding learning to perform epidural anesthesia procedures in obstetrics – a qualitative phenomenological study
Trainee mastery of technical procedures is a complex process influenced by institutional policies, learning context, teacher/learner preferences, and past experiences.1 Epidural anesthesia procedures are considered to be among the most difficult skills for trainees to acquire, largely because of the reliance on palpation of anatomic landmarks and tactile feedback from the needle and tissues.1 –4 Using the conventional “blind approach”, one study involving seven novice trainees concluded that between 45-60 attempts may be necessary to achieve 90% success. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - August 11, 2023 Category: Anesthesiology Authors: G. Jaconia, C. Naus, A. Lee Tags: Original Article Source Type: research

The association between epidural labor analgesia and the fetal outcome and mode of delivery of the second twin: a nationwide register-based cohort study in Finland
Multiple pregnancies have a higher risk of maternal and fetal morbidity and mortality compared with singleton pregnancies. Fortunately, the rate of perinatal mortality is decreasing.12 In Finland, perinatal and early neonatal mortality in twins has decreased during recent decades to 0.7% for the first twin, and 1.2% for the second twin.2 Generally, a trial of vaginal birth is a safe option for women with twin pregnancy.34 However, twin deliveries, especially the delivery of the second twin, are still associated with a higher complication rate than are singleton deliveries, and research on minimizing these challenges is war...
Source: International Journal of Obstetric Anesthesia - August 11, 2023 Category: Anesthesiology Authors: M. Vaajala, M. Kekki, V.M. Mattila, I. Kuitunen Tags: Original Article Source Type: research

Airway approach for caesarean section under general anaesthesia: a national survey
General anesthesia during pregnancy raises some concerns, particularly the airway approach, the risk of awareness and the need to ensure the fetal well-being. The aim of this pilot study was to assess the practice and concerns of anesthesiologists in Portugal about general anesthesia during pregnancy. An online survey was addressed to the anesthesiologists of the 11 hospitals with the highest number of annual deliveries in Portuguese National Health Service. A total of769 physicians were eligible. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - August 4, 2023 Category: Anesthesiology Authors: A Pombo, T Cardoso, AM Araujo, R Frada, CS Nunes, J Órfão, P Lemos Tags: Correspondence Source Type: research

Role of cosyntropin in the management of postpartum post-dural puncture headache: a two-center retrospective cohort study
About 500  000 women in the United Kingdom (UK) and up to 2 million women in the United States of America (USA) receive labor epidural analgesia each year,1,2 with an incidence of unintentional dural puncture (UDP) of 0.5–1.5%.3 Post-dural puncture headache (PDPH) complicates up to 70% of UDPs,4 thus repr esenting one of the most common problems associated with peripartum neuraxial analgesia and anesthesia. When conservative supportive measures fail,4,5 effective treatment often involves an epidural blood patch (EBP). (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - August 3, 2023 Category: Anesthesiology Authors: C. Pancaro, K. Balonov, K. Herbert, N. Shah, S. Segal, R. Cassidy, M.C. Engoren, V. Manica, A.S. Habib Tags: Original Article Source Type: research

Anaesthesia for caesarean birth in patients with vascular Ehlers-Danlos syndrome
We report three consecutive cases of successful caesarean birth (CB) in patients with Type IV Vascular-type Ehlers-Danlos Syndrome (VEDS), all of whom were co-managed by two tertiary National Health Service hospital trusts in the United Kingdom in 2022. Vascular-type Ehlers-Danlos Syndrome is a rare autosomal dominant genetic disorder resulting in structural abnormality of type-III collagen1; its prevalence is estimated to be 1:90 000.2 Pregnancy is not advised due to significant maternal mortality and risks of major arterial or venous dissection and uterine rupture. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - August 3, 2023 Category: Anesthesiology Authors: J. Blackburn, J. Geoghegan, G. Sharih, M. Allan Tags: Correspondence Source Type: research

Role of cosyntropin in the management of postpartum post-dural puncture headache: a two center retrospective cohort study
About 500 000 women in the United Kingdom (UK) and up to 2 million women in the United States of America (USA) receive labor epidural analgesia each year,1,2 with an incidence of unintentional dural puncture (UDP) of 0.5-1.5%.3 Post-dural puncture headache (PDPH) complicates up to 70% of UDPs, 4 thus representing one of the most common problems associated with peripartum neuraxial analgesia and anesthesia. When conservative supportive measures fail,4,5 effective treatment often involves an epidural blood patch (EBP). (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - August 3, 2023 Category: Anesthesiology Authors: C. Pancaro, K. Balonov, K. Herbert, N. Shah, S. Segal, R. Cassidy, M.C. Engoren, V. Manica, A.S. Habib Tags: Original Article Source Type: research

Anaesthesia for Caesarean Section in Patients with Vascular Ehlers Danlos Syndrome: Case Series
We report three consecutive cases of successful caesarean birth (CB) in patients with Type IV Vascular-type Ehlers-Danlos Syndrome (VEDS), all of whom were co-managed by two tertiary National Health System hospital trusts in the United Kingdom in 2022. Vascular-type Ehlers-Danlos Syndrome is a rare autosomal dominant genetic disorder resulting in structural abnormality of type-III collagen1; its prevalence is estimated to be 1:90 000.2 Pregnancy is not advised due to significant maternal mortality and risks of major arterial or venous dissection and uterine rupture. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - August 3, 2023 Category: Anesthesiology Authors: J Blackburn, J Geoghegan, G Sharih, M Allan Tags: Correspondence Source Type: research

Factors associated with epidural-related maternal fever in low-risk term women: a systematic review
Epidural-related maternal fever (ERMF) occurs in 15%-25% of laboring women after receiving neuraxial analgesia,1 and is associated with adverse maternal and neonatal consequences.2 –5While the exact mechanism of ERMF is not entirely understood, it is likely related to altered immunomodulation.6–7Maternal, obstetric, and analgesia factors4–5 may be associated with the development of ERMF and recognizing these factors will help target ERMF reduction in clinical practice. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - August 2, 2023 Category: Anesthesiology Authors: X.Y. Chang, L.Z. Wang, F. Xia, Y.F. Zhang Tags: Review Article Source Type: research

United States rural residence is associated with increased acute maternal end-organ injury or mortality after birth: a retrospective multi-state analysis, 2007-2018
The United States of America (USA) maternal mortality rate has increased from 7.2 deaths per 100 000 live births in 1987 to 23.8 deaths per 100 000 live births in 2020.1,2 Concurrently, the rate of severe maternal morbidity (SMM) has increased by 200%.3 Increases in the comorbidity burden of expectant mothers may partially explain these increases, but social determinants of health (where people are born, work, and live, as well as demographic factors, including race/ethnicity, and age) also contribute. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - August 2, 2023 Category: Anesthesiology Authors: R. Chaturvedi, B. Lui, V.E. Tangel, S.E. Abramovitz, K.O. Pryor, K.G. Lim, R.S. White Tags: Original Article Source Type: research

Analysis of Twitter conversations in obstetric anesthesiology using the hashtag #OBAnes during the onset of the COVID-19 pandemic
Social media is increasingly being used in medicine as a communication tool, allowing for large global networks to share new knowledge and promote discussion.1 In anesthesiology, social media use has grown by approximately 8% per year, and the COVID-19 pandemic has accelerated social media use given the demand for rapid dissemination of information.2 (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - August 2, 2023 Category: Anesthesiology Authors: A Robinson, RB George, G Lim, R Landau, ER Mariano, A Kou, EE Sharpe Tags: Short Report Source Type: research

Use of high-flow nasal oxygen for pregnant women with COVID-19 in the labour ward setting
In March 2021, the World Health Organization (WHO) classified the outbreak of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) a pandemic.1 The virus is transmitted through airborne droplets, close person-to-person contact and direct contact with objects or materials carrying the virus.2 Once the virus has entered the host, it replicates in the lower respiratory tract leading to an aggressive inflammatory response.3 In some individuals, this inflammatory immune response is sufficient to clear the infection, however for others a dysfunctional immune response is triggered, causing a cytokine storm and widespread ...
Source: International Journal of Obstetric Anesthesia - August 2, 2023 Category: Anesthesiology Authors: J. Smith, F. Plaat Tags: Review Article Source Type: research

Erratum to “A randomized trial to investigate needle redirections/re-insertions using a handheld ultrasound device versus traditional palpation for spinal anesthesia in obese women undergoing cesarean delivery” [Int. J. Obstetric Anesth. 49 (2022) 103229]
The publisher regrets that an incorrect supplementary file was visible online. The correct supplementary material is now available to view online. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - July 27, 2023 Category: Anesthesiology Authors: C.F. Weiniger, B. Carvalho, I. Ronel, C. Greenberger, B. Aptekman, O. Almog, G. Kagan, S. Shalev Tags: Erratum Source Type: research

Editorial Board
(Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - July 15, 2023 Category: Anesthesiology Source Type: research

Neuraxial buprenorphine for post-cesarean delivery analgesia: a case series
Neuraxial morphine is the accepted standard for post-cesarean delivery (CD) analgesia, however morphine shortages have prompted off-label use of alternative opioids. Buprenorphine was first reported to be an effective CD analgesic substitute for neuraxial morphine in the 1980s,1,2 although rigorous studies are lacking. We sought to characterize the analgesic efficacy and side effect profile of neuraxial buprenorphine in a contemporary cohort. (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - June 8, 2023 Category: Anesthesiology Authors: L.L. Sorabella, H.B. Ende, S.R. Bellenger, M.F. Stewart, B. French, D.R. McIlroy, B.L. Raymond Tags: Correspondence Source Type: research

Improving blood product management in placenta accreta patients with severe bleeding: institutional experience
Placenta accreta spectrum (PAS) describes a family of pathologies related to pathologic placental trophoblast invasion into the uterine wall (i.e., abnormal placentation).[1] The most feared complication associated with the delivery of parturients with PAS is life-threatening postpartum hemorrhage and its associated sequelae.[2,3] (Source: International Journal of Obstetric Anesthesia)
Source: International Journal of Obstetric Anesthesia - June 8, 2023 Category: Anesthesiology Authors: A. Zabida, G. Zahavi, J. Bartoszko, M. Ot álora-Esteban, J. Weinstein, J. Frogel, L. Miller, E. Sivan, D. Orkin, I. Dolgoker, H. Berkenstadt Tags: Short Report Source Type: research