Starting work on the labour ward is very challenging for all junior anaesthetists. This handbook is an easily navigated practical reference guide for anaesthetists new to this environment, as well as other members of the labour ward multi-disciplinary team; midwives, obstetricians, and Consultant Anaesthetists who visit labour ward less frequently or only when on-call. It covers all aspects of obstetric anaesthesia that the trainee anaesthetist will encounter during their obstetric training module, and is essential reading for FRCA exam preparation. Since the first edition, there is no doubt that the pregnant population has become more complex, with increasing maternal age and BMI, and challenging co-morbidities presenting more frequently. As well as providing updates from recent MBRRACE reports and national guidelines, new techniques, drugs, and technology, such as point of care testing have been included. New chapters covering the application of ultrasound in obstetric anaesthesia, recognition of the sick and septic patient, maternal obesity and neonatal resuscitation have been introduced. Previous chapters, e.g. haemorrhage, have been extensively updated, with the latest management protocols and algorithms based on recent published research in obstetric bleeding. We have retained our practical guides to performing, managing, and trouble-shooting regional techniques that are more problematic on labour ward, and our extensive A–Z of rarer conditions has updated references. More conventional chapters on maternal physiology and pathophysiology provide readers with essential examination material. The importance of anticipating risk in the antenatal period through high risk anaesthetic assessment clinics and postpartum management of tricky neurological complications is also well covered.
Table of Contents
Chapter 1 Thinking about obstetric anaesthesia Chapter 2 Confidential Enquiries into Maternal Deaths Chapter 3 Maternal physiology Chapter 4 Maternal pathophysiology Chapter 5 Antenatal assessment and pain management Chapter 6 Non-regional labour analgesia Chapter 7 Regional techniques in pregnancy Chapter 8 Ultrasound in obstetric practice Chapter 9 Regional analgesia for Labour Chapter 10 Anaesthesia for Caesarean section: Basic principles Chapter 11 Anaesthesia for Caesarean section: Regional anaesthesia Chapter 12 Anaesthesia for Caesarean section: General anaesthesia Chapter 13 Post-delivery symptom control Chapter 14 Anaesthesia and analgesia for specific obstetric indications Chapter 15 Postpartum review and problems Chapter 16 Obesity in pregnancy Chapter 17 The sick and septic mother Chapter 18 Major obstetric haemorrhageRachel Collis Chapter 19 Hypertensive disease Chapter 20 Embolic disease Chapter 21 The collapsed parturient Chapter 22 Anaesthesia for non-obstetric surgery Chapter 23 The fetus Chapter 24 Neonatal resuscitation Chapter 25 A–Z of conditions in obstetric anaesthesia