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Chapter 2.6 - Obstetrics

from Section 2 - Surgery

Published online by Cambridge University Press:  26 May 2025

Rebecca Leslie
Affiliation:
Royal United Hospitals NHS Foundation Trust, Bath
Emily Johnson
Affiliation:
Worcester Acute Hospitals NHS Trust, Worcester
Gary Thomas
Affiliation:
Cwm Taf Morgannwg University Health Board, Bridgend
Philip Harrington
Affiliation:
West Midlands Deanery, Birmingham
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Summary

A structured approach is vital to ensure that you do not forget any of the key points. It may be worth making an opening statement explaining the reason for all of these changes!

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Publisher: Cambridge University Press
Print publication year: 2025

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References

Further Reading

Green, LJ, Mackillop, LH, Salvi, D, Pullon, R, Loerup, L, Tarassenko, L et al. Gestation-specific vital sign reference ranges in pregnancy. Obstetrics and Gynecology. 2020; 135(3): 653664.CrossRefGoogle ScholarPubMed
Plaat, F, Stanford, SER, Lucas, DN, Andrade, J, Careless, J, Russell, R et al. Prevention and management of intra-operative pain during Caesarean section under neuraxial anaesthesia: A technical and interpersonal approach. Anaesthesia. 2022; 77(5): 588597.CrossRefGoogle ScholarPubMed

Further Reading

Haggerty, E, Daly, J. Anaesthesia and non-obstetric surgery in pregnancy. BJA Education. 2021; 21(2): 4243.CrossRefGoogle ScholarPubMed

Further Reading

Knight, M, Bunch, K, Tuffnell, D et al. Saving lives, Improving mothers’ care: Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2017–19. Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK: MBRRACE-UK.Google Scholar
Madden, A-M, Meng, M-L. Cardiopulmonary resuscitation in the pregnant patient. BJA Education. 2020; 20(8): 252258.CrossRefGoogle ScholarPubMed

Further Reading

British National Formulary 59. 2010.Google Scholar
Leslie, D, Collins, RE. Hypertension in pregnancy. BJA Education. 2016; 16(1):3337.CrossRefGoogle Scholar
NICE. Hypertension in pregnancy: diagnosis and management (NG133).Google Scholar
OAA. Pain Relief in Labour 3rd Edition. 2012.Google Scholar

Further Reading

Alleemudder, DI, Kuponiyi, Y, Kuponiyi, C, McGlennan, A, Fountain, S, Kasivisvanathan, R. Analgesia for labour: An evidence-based insight for the obstetrician. The Obstetrician and Gynaecologist. 2015;17:147–55.CrossRefGoogle Scholar
Cambic, CR, Wong, CA. Labour analgesia and obstetric outcomes. British Journal of Anaesthesia. 2010;105(1):5060.CrossRefGoogle ScholarPubMed
Fortescue, C, Wee, MY. Analgesia in labour: Non-regional techniques. BJA Education. 2005;5(1):913.Google Scholar
Labor, S, Maguire, S. The Pain of labour. Reviews in Pain. 2008;2(2):1519.CrossRefGoogle ScholarPubMed
Obstetrics Anaesthetists’ Association. Remifentanil [Internet]. 2018 [cited 18 July 2021]. Available from: www.oaa-anaes.ac.uk/ui/content/content.aspx?ID=68Google Scholar
Ronel, I, Weiniger, CF. Non-regional analgesia for labour: Remifentanil in obstetrics. BJA Education. 2019;19(11):357361.CrossRefGoogle ScholarPubMed
Shatil, B, Smiley, R. Neuraxial analgesia for labour. BJA Education. 2020;20(3):96102.CrossRefGoogle ScholarPubMed
Wilson, MJA, MacArthur, C, Hewitt, CA, Handley, K, Gao, F, Beeson, L, Daniels, J. Intravenous remifentanil patient-controlled analgesia versus intramuscular pethidine for pain relief in labour (RESPITE): An open-label, multicentre, randomised controlled trial. The Lancet. 2018;392:662672.CrossRefGoogle ScholarPubMed
Yentis, SM, Lucas, DN, Brigante, L, Collis, R, Cowley, P, Denning, S, Fawcett, WJ, Gibson, A. Safety guideline: Neurological monitoring associated with obstetric neuraxial block 2020: A joint guideline by the Association of Anaesthetists and the Obstetric Anaesthetists’ Association. Anaesthesia. 2020;75(5):913919.CrossRefGoogle ScholarPubMed

Further Reading

Brennan, K. Placental pathology: A review of placenta previa, placental abruption and placenta accreta. Obstetric Anaesthesia. 2019;51.Google Scholar
Jauniaux, ERM, Alfirevic, Z, Bhide, AG, Belfort, MA, Burton, GJ, Collins, SL, Dornan, S, Jurkovic, D, Kayem, G, Kingdom, J, Silver, R, Sentilhes, L, on behalf of the Royal College of Obstetricians and Gynaecologists. Placenta Praevia and Placenta Accreta: Diagnosis and Management. Green-top Guideline No. 27a. British Journal of Obstetrics and Gynaecology. 2018.CrossRefGoogle Scholar
Khan, KS, Moore, P, Wilson, M, Hooper, R, Allard, S, Wrench, I, Roberts, T, McLoughlin, C, Beresford, L, Geoghegan, J, Daniels, J. A randomised controlled trial and economic evaluation of intraoperative cell salvage during Caesarean section in women at risk of haemorrhage: The SALVO (cell SALVage in Obstetrics) trial. Health Technology Assessment (Winchester, England). 2018;22(2):1.Google ScholarPubMed
Klein, AA, Bailey, CR, Charlton, AJ, Evans, E, Guckian‐Fisher, M, McCrossan, R, Nimmo, AF, Payne, S, Shreeve, K, Smith, J, Torella, F. Association of Anaesthetists guidelines: Cell salvage for peri‐operative blood conservation 2018. Anaesthesia. 2018;73(9):11411150.CrossRefGoogle ScholarPubMed
Mavrides, E, Allard, S, Chandraharan, E, Collins, P, Green, L, Hunt, BJ, Riris, S. Thomson, AJ, on behalf of the Royal College of Obstetricians and Gynaecologists. Prevention and management of postpartum haemorrhage. British Journal of Obstetrics and Gynaecology. 2016;124:106149.Google Scholar
Obstetrics Anaesthetists’ Association. Cell Salvage [Internet]. 2009 [cited 18 July 2021]. Available from: www.oaa-anaes.ac.uk/ui/content/content.aspx?ID=74.Google Scholar
Smith, C, Shippam, W, Brown, J, Abir, G. Intraoperative cell salvage in obstetrics. Obstetric anaesthesia. World Federation of Societies of Anaesthesiologists. 2018.Google Scholar

Further Reading

Dalvi, BV, Chaudhuri, A, Kulkarni, HL. Therapeutic guidelines for congenital complete heart block presenting in pregnancy. Obstetrics and Gynecology. 1992; 79(5 ( Pt 2)):802804.Google ScholarPubMed
Drenthen, W, Boersma, E, Balci, A et al. Predictors of pregnancy complications in women with congenital heart disease. European Heart Journal. 2010; 31(17):21242132.CrossRefGoogle ScholarPubMed
Drenthen, W, Pieper, PG, Roos-Hesselink, JW et al. Outcome of pregnancy in women with congenital heart disease: A literature review. Journal of the American College of Cardiology. 2007; 49(24):23032311.CrossRefGoogle ScholarPubMed
Niwa, K, Akagi, T, Aomi, S. Guidelines for Indication and Management of Pregnancy and Delivery in Women with Heart Disease (JCS 2010): digest version. Japanese Circulation Society Joint Working Group. Circulation Journal. 2012; 76(1):240260.Google Scholar
Joglar, JA, Page, RL. Antiarrhythmic drugs in pregnancy. Current Opinion in Cardiology. 2001; 16(1):4045.CrossRefGoogle ScholarPubMed
Johnson, M, von Klemperer, K. Cardiovascular Changes in Normal Pregnancy. Heart Disease and Pregnancy. 2nd ed. Cambridge: Cambridge University Press; 2016; 1928.Google Scholar
Kamiya, CA, Iwamiya, T, Neki, R. Outcome of pregnancy and effects on the right heart in women with repaired tetralogy of fallot. Circulation Journal. 2012; 76(4):957–63.CrossRefGoogle ScholarPubMed
Kamiya, C, Nakatani, S, Hashimoto, S et al. Role of echocardiography in assessing pregnant women with and without heart disease. Journal of Echocardiography. 2008; 6:2938.CrossRefGoogle Scholar
Niwa, K. Adult Congenital Heart Disease with Pregnancy. Korean Circulation Journal. 2018; 48(4):251276.CrossRefGoogle ScholarPubMed
Niwa, K, Tateno, S, Akagi, T et al. Arrhythmia and reduced heart rate variability during pregnancy in women with congenital heart disease and previous reparative surgery. International Journal of Cardiology. 2007; 122(2):143148.CrossRefGoogle ScholarPubMed
Ohuchi, H, Tanabe, Y, Kamiya, C, Noritake, K et al. Cardiopulmonary variables during exercise predict pregnancy outcome in women with congenital heart disease. Circulation Journal. 2013; 77(2):470476.CrossRefGoogle ScholarPubMed
Regitz-Zagrosek, V, Blomstrom Lundqvist, C, Borghi, C et al. ESC Guidelines on the management of cardiovascular diseases during pregnancy: The task force on the management of cardiovascular diseases during pregnancy of the European Society of Cardiology (ESC). European Society of Gynecology (ESG), Association for European Paediatric Cardiology (AEPC), German Society for Gender Medicine (DGesGM). European Heart Journal. 2011; 32(24):31473197.Google Scholar
Silversides, CK, Kiess, M, Beauchesne, L et al. Canadian Cardiovascular Society 2009 Consensus Conference on the management of adults with congenital heart disease: Outflow tract obstruction, coarctation of the aorta, tetralogy of Fallot, Ebstein anomaly and Marfan’s syndrome. Canadian Journal of Cardiology. 2010; 26(3):e8097.CrossRefGoogle Scholar
Siu, SC, Colman, JM, Sorensen, S et al. Adverse neonatal and cardiac outcomes are more common in pregnant women with cardiac disease. Circulation. 2002; 105(18):21792184.CrossRefGoogle ScholarPubMed
Siu, SC, Sermer, M, Harrison, DA et al. Risk and predictors for pregnancy-related complications in women with heart disease. Circulation. 1997; 96(9):27892794.Google ScholarPubMed
Steer, PJ. Pregnancy and contraception. Adult Congenital Heart Disease: A Practical Guide. Oxford: Blackwell Publishing Ltd.; 2005; 1635.Google Scholar
Tanous, D, Siu, SC, Mason, J et al. B-type natriuretic peptide in pregnant women with heart disease. Journal of the American College of Cardiology. 2010; 56(15):12471253.CrossRefGoogle ScholarPubMed
Thorne, S, MacGregor, A, Nelson-Piercy, C. Risks of contraception and pregnancy in heart disease. Heart. 2006; 92(10):15201525.CrossRefGoogle ScholarPubMed

Further Reading

Drew, T, Carvalho, JCA. Major obstetric haemorrhage. BJA Education. 22 (6) 238244, 2022.CrossRefGoogle ScholarPubMed
Mavrides, E, Allard, S, Chandraharan, E, Collins, P, Green, L, Hunt, BJ, Riris, S, Thomson, AJ, on behalf of the Royal College of Obstetricians and Gynaecologists. Prevention and management of postpartum haemorrhage. BJOG: An International Journal of Obstetrics and Gynaecology. 2016;124:e106e149Google Scholar
MBRRACE-UK Saving lives, Improving mothers’ care. Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2017–19.Google Scholar

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  • Obstetrics
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.016
Available formats
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Save book to Dropbox

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  • Obstetrics
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.016
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Obstetrics
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.016
Available formats
×