Table of Contents:

Part 1 Introduction

1. The History of Obstetric Anesthesia

Part 2 Maternal and Fetal Physiology

2. Physiologic Changes of Pregnancy

3. Uteroplacental Blood Flow

4. The Placenta: Anatomy, Physiology, and Transfer of Drugs

5. Fetal Physiology

Part 3 Fetal and Neonatal Assessment and Therapy

6. Antepartum Fetal Assessment and Therapy

7. Anesthesia for Fetal Surgery and Other Intrauterine Procedures

8. Intrapartum Fetal Assessment and Therapy

9. Neonatal Assessment and Resuscitation

10. Fetal and Neonatal Neurologic Injury

Part 4 Foundations in Obstetric Anesthesia

11. Patient Safety and Team Training

David J. Birnbach and Eduardo Salas

12. Spinal, Epidural and Caudal Anesthesia: Anatomy, Physiology, and Technique

Naveen Nathan and Cynthia Wong

13. Local Anesthetics and Opioids

Brenda A. Bucklin and Alan C. Santos

Part 5 Anesthesia Before and During Delivery

14. Pharmacology and Nonanesthetic Drugs during Pregnancy and Lactation

15. In Vitro Fertilization and Other Assisted Reproductive Technology

16. Problems of Early Pregnancy

17. Nonobstetric Surgery During Pregnancy

Part 6 Labor and Vaginal Delivery

18. Obstetric Management of Labor and Vaginal Delivery

19. Trial of Labor and Vaginal Birth after Cesarean Delivery

20. The Pain of Childbirth and Its Effect on the Mother and the Fetus

21. Childbirth Preparation and Nonpharmacologic Analgesia

22. Systemic Analgesia: Parenteral and Inhalational Agents

23. Epidural and Spinal Analgesia/Anesthesia for Labor and Vaginal Delivery

24. Alternative Regional Analgesic Techniques for Labor and Vaginal Delivery

25. Postpartum Tubal Sterilization

Part 7 Cesarean Delivery

26. Anesthesia for Cesarean Delivery

27. Postoperative and Chronic Pain: Systemic and Regional Analgesic Techniques

28. Postoperative Analgesia: Epidural and Spinal Techniques

Part 8 Anesthetic Complications

29. Aspiration: Risk, Prophylaxis, and Treatment

30. The Difficult Airway: Risk, Assessment, Prophylaxis and Management

31. Postpartum Headache

32. Neurologic Complications of Pregnancy and Neuraxial Anesthesia

33. Medicolegal Issues in Obstetric Anesthesia

Part 9 Obstetric Complications

34. Preterm Labor and Delivery

35. Abnormal Presentation and Multiple Gestation

36. Hypertensive Disorders

37. Fever and Infection

38. Antepartum and Postpartum Hemorrhage

39. Embolic Disorders

40. Maternal Mortality

Part 10 The Parturient with Systemic Disease

41. Autoimmune Disorders

42. Cardiovascular Disease

43. Endocrine Disorders

44. Hematologic and Coagulation Disorders

45. Human Immunodeficiency Virus

46. Liver Disease

47. Malignant Hyperthermia

48. Musculoskeletal Disorders

49. Neurologic and Neuromuscular Disease

50. Obesity

51. Psychiatric Disorders

52. Renal Disease

53. Respiratory Disease in Pregnancy

54. Substance Abuse

55. Trauma and Critical Care During Pregnancy

Appendix A

American Society of Anesthesiologists Guidelines for Neuraxial Anesthesia in Obstetrics

Appendix B

Practice Guidelines for Obstetric Anesthesia: An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia

Appendix C

Optimal Goals for Anesthesia Care in Obstetrics

Appendix D

Information Technology Resources for Obstetric Anesthesia Providers