bstetric Anesthesia Handbook
Fourth Edition
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BSTETRIC ANESTHESIA
HANDBOOK
Fourth Edition
Sanjay Datta, MD, FFARCS (Eng)
Professor of Anesthesia
Brigham and Women’s Hospital Harvard Medical School
Boston, Massachusetts With 72 Illustrations
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Sanjay Datta, MD, FFARCS (Eng) Professor of Anesthesia
Brigham and Women’s Hospital Harvard Medical School Boston, MA 02115 USA
Library of Congress Control Number: 2005926767 ISBN 0-387-26075-7
ISBN 978-0387-26075-4
Printed on acid-free paper.
© 2006 Springer Science+Business Media, Inc.
Third edition © 2000 by Hanley & Belfus, Inc
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Preface 䉲
Three previous editions of Obstetric Anesthesia Handbook have proven valuable in serving those interested in managing pregnant women, each edition has become popular among anesthesiology residents, fellows, staff, and also among obste- tricians. This book has enjoyed strong international appeal and has been widely translated.
Obstetric anesthesia has undergone changes in its field, changes in the technique as well as in its specific pharma- ceutical agents. Updating these fields has been the primary focus for the fourth edition. The text has been written to retain the cohesiveness of a single-author work; all efforts have been made to keep the text concise and to keep it in a true hand- book format.
I sincerely hope the fourth edition will be as useful and as popular as previous editions. I thank Mrs. Elizabeth Kiernan, whose help has been immeasurable.
Sanjay Datta, MD
Contents 䉲
Preface . . . . v
1. Maternal Physiological Changes During Pregnancy, Labor, and the Postpartum Period . . . 1
2. Local Anesthetic Pharmacology . . . . 14
3. Perinatal Pharmacology . . . . 27
4. Drug Interactions and Obstetric Anesthesia . . . . 38
5. Uteroplacental Blood Flow . . . . 59
6. Physiology of Labor and Delivery . . . . 72
7. Relief of Labor Pain by Systemic Medication . . . . 79
8. Spinal Opiates in Obstetrics . . . . 89
9. Effect of Maternally Administered Anesthetics and Analgesics on Neonates and Neurobehavioral Testing . . . 100
10. Fetal Monitoring . . . 117
11. Relief of Labor Pain by Regional Analgesia/Anesthesia . . . 130
12. Anesthesia for Cesarean Delivery . . . 172
13. High-Risk Pregnancy . . . 211
14. Neonatal Resuscitation . . . 302
15. Postpartum Tubal Ligation . . . 325
16. Anesthesia for Surgery During Pregnancy . . . 333
17. In Vitro Fertilization . . . 347
18. Maternal Mortality and Morbidity . . . 353
Index . . . 381 viii CONTENTS
