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

被引:16
|
作者
Lim, Grace [1 ]
Facco, Francesca L. [2 ]
Nathan, Naveen [3 ]
Waters, Jonathan H. [1 ]
Wong, Cynthia A. [4 ]
Eltzschig, Holger K. [5 ]
机构
[1] Univ Pittsburgh, Sch Med, Dept Anesthesiol, Pittsburgh, PA USA
[2] Univ Pittsburgh, Magee Womens Res Inst & Fdn, Dept Obstet & Gynecol, Div Maternal Fetal Med,Sch Med, Pittsburgh, PA USA
[3] Northwestern Univ Feinberg, Sch Med, Dept Anesthesiol, Chicago, IL USA
[4] Univ Iowa, Carver Coll Med, Dept Anesthesia, Iowa City, IA USA
[5] Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Dept Anesthesiol, Houston, TX USA
基金
美国国家卫生研究院;
关键词
EPIDURAL LABOR ANALGESIA; ABDOMINIS PLANE BLOCK; EXTERNAL CEPHALIC VERSION; RANDOMIZED CONTROLLED-TRIAL; MU-OPIOID RECEPTOR; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; PATIENT BLOOD MANAGEMENT; QUADRATUS LUMBORUM BLOCK; HEART-RATE ABNORMALITIES; SAFETY CONSENSUS BUNDLE;
D O I
10.1097/ALN.0000000000002182
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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.
引用
收藏
页码:192 / 215
页数:24
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