International journal of obstetric anesthesia
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Int J Obstet Anesth · Oct 2007
Survey of obstetric providers' views on the anesthetic risks of maternal obesity.
Maternal obesity is increasing in prevalence and associated with numerous complications. Surveys document that obstetricians recognize the obstetric and perinatal health risks of maternal obesity. To determine if they recognize the anesthetic risks and discuss them antenatally with obese patients, we surveyed all obstetric providers at a university-affiliated obstetric unit. ⋯ This preliminary study suggests that antenatal education about the anesthetic implications of obesity may not be part of routine prenatal care for obese pregnant women.
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Int J Obstet Anesth · Oct 2007
Case ReportsAnaesthesia for caesarean section in a patient with acute generalised pustular psoriasis.
We describe a 30-year-old parturient with acute generalised pustular psoriasis who presented for urgent caesarean section. A multidisciplinary team was involved and general anaesthesia was used successfully. ⋯ While generalised pustular psoriasis or impetigo herpetiformis is well recognised in pregnancy, it has not hitherto been reported in obstetric anaesthesia literature. The purpose of this article is to delineate the clinical picture of this disease, its treatment, and the effect on the mother and the fetus.
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Int J Obstet Anesth · Oct 2007
Contraindications to regional anaesthesia in obstetrics: a survey of German practice.
We assessed current practice regarding indications and contraindications to regional analgesia and anaesthesia for labour and delivery in Germany. ⋯ Clinical practice varies considerably in Germany. Concerns regarding the use of regional blockade were more prevalent in hospitals with small delivery units. Indications and contraindications are not consistent in Germany and some recommendations or guidelines are needed.