This new addition to the highly successful Core Topics in Anaesthesia series provides a clinically relevant text for both trainees and consultants, covering the entire sub-specialty of obstetric anaesthesia. In-depth coverage of pregnancy-related physiology and pharmacology makes this book an excellent revision tool for basic science examinations. It is also a troubleshooting guide for anaesthetists when managing parturients suffering with concurrent medical conditions including obesity, sepsis, hypertensive, renal, respiratory, neurological, haematological and endocrine diseases. Chapters provide recommended management plans for specific conditions such as HIV and neuropraxia following regional anaesthesia, and include algorithms to guide clinical decision-making. Guidance on the required infrastructure for setting up services such as antenatal clinics is also included. Experts in their fields have contributed sections including allergy testing and immunology, the immunocompromised parturient, and maternal collapse. This practical resource will serve as a survival guide for all those caring for parturients on the delivery suite.
Preface; Part I. Basic Science, Epidemiology and Service Organisation: 1. Physiology of pregnancy N. J. Nirmalan and M. Nirmalan; 2. Placental physiology Carolynn Wai and William MacNab; 3. Pharmacology relevant to pregnancy Christopher Kelly and Malachy Columb; 4. Maternal morbidity and mortality Katherine O'Brien; Part II. Obstetric Aspects: 5. Maternal critical care Sarah Wheatly and Katherine O'Brien; 6. Obstetrics for the anaesthetist Emma Ingram, Alex Heazell and Edward D. Johnstone; 7. Antenatal assessment Allison Howells; Part III. Provision of Anaesthesia: 8. Incidental anaesthesia during pregnancy Desiree M. A. Choi and Kim G. Soulsby; 9. Non-regional analgesia techniques for labour Gordon Yuill; 10. Regional analgesia techniques for labour Lawrence C. Tsen; 11. Regional anaesthesia for operative delivery Cathy Armstrong and Khaled Girgirah; 12. General anaesthesia for caesarean section and transverse abdominal plane block Suraj Jayasundera and Karen Butler; 13. Anaesthesia for specific obstetric indications: cervical suture, external cephalic version, controlled ARM, manual removal of placenta and perineal repair John R. Dick; Part IV. Medical Conditions in Pregnancy: 14. Hypertension in pregnancy, pre-eclampsia and eclampsia Suna Monaghan and Lorna A. Howie; 15. Sepsis and influenza in pregnancy Tim Holzmann and Dougal Atkinson; 16. Cardiac disease in pregnancy William MacNab, Anita MacNab and Akbar Vohra; 17. Respiratory disease in pregnancy Chris Kelly, Simon Maguire and Craig Carroll; 18. Obesity and ultrasonography for central neuraxial blocks Sophie Bishop and Andrew Zuokoumour; 19. Endocrine disease in pregnancy including diabetes mellitus, thyroid and adrenal disease Jenny Myers and Dan Mallaber; 20. Renal disease in pregnancy Jessica Longbottom and William MacNab; 21. Haematology disease in pregnancy Pavan Kochhar, Andrew Heck and Clare Tower; 22. Neurosurgical and neurological disease in pregnancy Kirsty MacLennan and Craig Carroll; 23. Immunology including testing and management of allergy during pregnancy Gareth Kitchen, Tomaz Garcez and Nigel J. N. Harper; 24. HIV and infectious disease in pregnancy including herpes, syphilis and hepatitis J. E. A. K. Bamfo, Matthew D. Phillips, M. Kingston and K. Chan; Part V. Postpartum Complications and Obstetric Emergencies: 25. Maternal collapse including massive obstetric haemorrhage, amniotic fluid embolism and cardiac arrest Kate Grady and Tracey Johnston; 26. Postpartum complications, follow up and maternal experience Richard Wadsworth and Kailash Bhatia; Part VII. Service Organisation: 27. Multidisciplinary teaching and training on the delivery unit Catherine Robinson and Cathy Armstrong; 28. Clinical governance and patient safety Katherine O'Brien; 29. Ethics, consent and the law Andrew Heck and Ross Clark; Index.