Table of Contents
Preface vii
Acknowledgments ix
Contributors xi
Section I Pharmacology and Physiology
1 Physiologic Changes of Pregnancy Rachel M. Kacmar Andrea J. Traynor 3
2 Uteroplacental Anatomy, Blood Flow, Respiratory Gas Exchange, Drug Transfer, and Teratogenicity Curtis L. Baysinger Barton Staat 19
3 Local Anesthetics and Toxicity Jennifer Hofer Barbara M. Scavone 35
4 Obstetric Medications Ruchira Patel Mrinalini Balki 55
Section II Antepartum Considerations
5 Ethical and Legal Considerations in Obstetric Anesthesia M. Joanne Douglas William J. Sullivan 73
6 Nonobstetric Surgery during Pregnancy Joy L. Hawkins Debnath Chatterjee 83
Section III Labor and Delivery
7 Fetal Assessment and Monitoring Michael G. Richardson Mary DiMiceli-Zsigmond David R. Gambling 95
8 Maternal Infection and Fever Rebecca D. Minehart William Camann Scott Segal 115
9 Non-neuraxial Analgesic Techniques Wint Mon Roshan Fernando Geraidine O'Sullivan 137
10 Choice of Neuraxial Analgesia and Local Anesthetics Dominique Moffitt Arvind Palanisamy 161
11 Ultrasound and Echocardiography Techniques in Obstetric Anesthesia Laurie A. Chalifoux John T. Sullivan 191
12 Impact of Neuraxial Analgesia on Obstetric Outcomes Christopher R. Cambic Cynthia A. Wong 221
13 Anesthetic Considerations for Women Receiving Cesarean Delivery Robert R. Galser 237
14 Difficult Airway Management in the Pregnant Patient Uma Munnur Maya S. Suresh 259
15 Anesthesia for Multiple Gestation and Breech Presentation Carolyn F. Weiniger 287
16 Obstetric Emergencies Michael Frölich Brenda A. Bucklin 307
17 Newborn Resuscitation Richard A. Month 343
Section IV Postpartum Issues
18 Postcesarean Analgesia Richard N. Wissler 365
19 Management of Postdural Puncture Headache David Wlody 377
20 Neurologic Deficits Following Labor and Delivery Mark I. Zakowski Andrew Geller 389
21 Postpartum Tubal Ligation Brenda A. Bucklin 417
Section V Disease States
22 Hypertensive Disorders of Pregnancy Yelena Spitzer Yaakov Beilin 435
23 Endocrine Disorders Jessica Booth Peter H. Pan Janine Malcolm Erin J. Keely 451
24 Thrombophilias/Coagulopathies James P.R. Brown M. Joanne Douglas 479
25 Cardiac Disease in the Obstetric Patient Nathaen S. Weitzel Bryan 5. Ahlgren 497
26 Neurologic and Neuromuscular Disease Tammy Y. Euliano Mary A. Herman 535
27 Renal and Hepatic Disease in the Pregnant Patient Quisqueya T. Palacios M. Susan Mandell 557
28 Obstetric Anesthesia for Parturients with Respiratory Diseases Suzanne K.W. Mankowitz Stephanie R. Goodman 581
29 Obesity and Pregnancy Brenda A. Bucklin David R. Gambling 609
30 Trauma in the Obstetric Patient Hen Y. Sela Lior Drukker Sharon Einav 631
31 Management of the Opioid Dependent Parturient Jessica L. Young Ellen M. Lockhart Curtis L. Baysinger 655
32 Maternal Morbidity and Mortality Jill M. Mhyre 667
Section VI Guidelines From National Organizations
33 Guidelines from National Organizations Kathryn J. Zuspan 679
Index 701