A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes

Grace Lim; Francesca L Facco; Naveen Nathan; Jonathan H Waters; Cynthia A Wong; Holger K Eltzschig

doi:10.1097/aln.0000000000002182

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A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes

Journal article

Open access

Peer reviewed

A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes

Grace Lim, Francesca L Facco, Naveen Nathan, Jonathan H Waters, Cynthia A Wong and Holger K Eltzschig

Anesthesiology (Philadelphia), Vol.129(1), pp.192-215

07/2018

DOI: 10.1097/aln.0000000000002182

PMCID: PMC6008182

PMID: 29561267

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Abstract

Obstetric anesthesia has evolved over the course of its history to encompass comprehensive aspects of maternal care, ranging from cesarean delivery anesthesia and labor analgesia to maternal resuscitation and patient safety. Anesthesiologists are concerned with maternal and neonatal outcomes, and with preventing and managing complications that may present during childbirth. The current review will focus on recent advances in obstetric anesthesia, including labor anesthesia and analgesia, cesarean delivery anesthesia and analgesia, the effects of maternal anesthesia on breastfeeding and fever, and maternal safety. The impact of these advances on maternal and neonatal outcomes is discussed. Past and future progress in this field will continue to have significant implications on the health of women and children.

Anesthesia, Obstetrical - trends

Humans

Maternal Health - trends

Pregnancy Outcome - epidemiology

Anesthesia, Obstetrical - methods

Pregnancy

Delivery, Obstetric - methods

Analgesics, Opioid - administration & dosage

Nitrous Oxide - administration & dosage

Delivery, Obstetric - trends

Cesarean Section - trends

Female

Breast Feeding - trends

Cesarean Section - methods

Infant, Newborn

Details

Title: Subtitle: A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes
Creators: Grace Lim - From the Department of Anesthesiology (G.L., J.H.W.) Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Magee-Womens Research Institute and Foundation (F.L.F.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois (N.N.) Department of Anesthesia, University of Iowa Carver College of Medicine, Iowa City, Iowa (C.A.W.) Department of Anesthesiology, University of Texas Health Science Center, McGovern Medical School, Houston, Texas (H.K.E.)
Francesca L Facco
Naveen Nathan
Jonathan H Waters
Cynthia A Wong
Holger K Eltzschig
Resource Type: Journal article
Publication Details: Anesthesiology (Philadelphia), Vol.129(1), pp.192-215
Publisher: United States
DOI: 10.1097/aln.0000000000002182
PMID: 29561267
PMCID: PMC6008182
ISSN: 0003-3022
eISSN: 1528-1175
Grant note: R01 DK097075 / NIDDK NIH HHS R01 HL098294 / NHLBI NIH HHS R01 HL133900 / NHLBI NIH HHS P01 HL114457 / NHLBI NIH HHS T32 GM075770 / NIGMS NIH HHS R01 DK082509 / NIDDK NIH HHS R01 HL119837 / NHLBI NIH HHS R01 HL109233 / NHLBI NIH HHS R01 DK109574 / NIDDK NIH HHS K12 HD043441 / NICHD NIH HHS R01 HL120354 / NHLBI NIH HHS
Language: English
Date published: 07/2018
Academic Unit: Anesthesia
Record Identifier: 9984007160202771

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