Analgesia, Anaesthesia and Pregnancy

Now in its fourth edition, Analgesia, Anaesthesia and Pregnancy is a concise guide to obstetric anaesthesia and analgesia. This essential text reviews every topic and clinical challenge faced during delivery and focuses on pre-empting problems and maximising quality of care. It also covers acute emergencies related to pregnancy. This new edition features 11 new chapters that cover the significant updates in the field over the last few years. Presented in a clearly structured format, this practical guide will be an invaluable source of key information for any anaesthetist encountering obstetric patients, whether they are a practised consultant or still in training. Obstetricians, neonatologists, midwives, nurses, and anaesthetic assistants in obstetric analgesia and anaesthesia who wish to extend or update their knowledge will also benefit from reading this book.

    Provides broad coverage of obstetric anaesthesia in an easy to follow, quick reference style format
    It is useful for both exam preparation and day-to-day practice
    Features significant updates in obstetric anaesthesia over recent years, meaning this new edition is timely

Table of Contents

1. Assisted fertility
2. Ovarian hyperstimulation syndrome
3. Anaesthesia before confirmation of pregnancy
4. Ectopic pregnancy
5. Evacuation of retained products of conception
6. Termination of pregnancy
7. Cervical suture (cerclage)
8. Incidental surgery in the pregnant patient
9. Intrauterine surgery
10. Anatomy of the spine and peripheral nerves
11. Physiology of pregnancy
12. Antenatal care
13. Aortocaval compression
14. Gastric function and feeding in labour
15. Drugs and pregnancy
16. Placental transfer of drug
17. Prescription and administration of drugs by midwives
18. Local anaesthetics
19. Normal labour
20. Intrapartum fetal monitoring
21. Pain of labour
22. Non-pharmacological analgesia
23. Inhalational analgesic drugs
24. Systemic analgesic drugs
25. Intravenous patient-controlled analgesia for labour
26. Epidural analgesia for labour
27. Epidural test doses
28. Spinal analgesia
29. Combined spinal–epidural analgesia and anaesthesia
30. Spinal and epidural opioids
31. Pre-operative Assessment
32. Operative vaginal delivery (Instrumental delivery)
33. Caesarean section
34. Spinal anaesthesia for caesarean section
35. Epidural anaesthesia for caesarean section
36. General anaesthesia for caesarean section
37. Cricoid pressure
38. Failed and difficult intubation
39. Awake intubation
40. Removal of retained placenta and perineal suturing
41. Postoperative analgesia
42. Enhanced recovery
43. Bloody tap
44. Dural puncture
45. Postdural puncture headache
46. Epidural blood patch
47. Extensive regional block
48. Inadequate regional analgesia in labour
49. Breakthrough pain during caesarean section
50. Backache
51. Chronic pain post-caesarean section
52. Horner's syndrome and cranial nerve palsy
53. Peripheral nerve lesions following regional anaesthesia
54. Spinal cord lesions following regional anaesthesia
55. Arachnoiditis
56. Cauda equina syndrome
57. Opioid-induced pruritus
58. Shivering
59. Aspiration of gastric contents
60. Awareness
61. Air embolism
62. Malignant hyperthermia
63. Induction and augmentation of labour
64. Oxytocic and tocolytic drugs
65. Premature labour, delivery and rupture of membranes
66. Malpresentations and malpositions
67. External cephalic version
68. Multiple pregnancy
69. Vaginal birth after caesarean section
70. Under-age pregnancy and advanced maternal age
71. Abnormal placentation
72. Placental abruption
73. Cord prolapse
74. Fetal distress
75. Shoulder dystocia
76. Intrauterine death
77. Uterine inversion
78. Major obstetric haemorrhage
79. Postpartum haemorrhage
80. Collapse on labour ward
81. Maternal cardiopulmonary resuscitation
82. Amniotic fluid embolism
83. Cholestasis of pregnancy (obstetric cholestasis)
84. Acute fatty liver of pregnancy
85. HELLP syndrome
86. Hypertension, pre-eclampsia and eclampsia
87. Magnesium sulphate
88. Hyperemesis gravidarum
89. Maternal mortality
90. Allergic reactions
91. Cardiovascular disease
92. Arrhythmias
93. Pulmonary oedema
94. Cardiomyopathy
95. Coarctation of the aorta
96. Aortic dissection
97. Valvular heart disease
98. Congenital heart disease
99. Pulmonary hypertension and Eisenmenger's syndrome
100. Ischaemic heart disease
101. Endocrine disease
102. Diabetes mellitus
103. Anaemia and polycythaemia
104. Deep-vein thrombosis and pulmonary embolism
105. Thrombophilia
106. Coagulopathy
107. Von Willebrand's disease and haemophilia
108. Disseminated intravascular coagulation
109. Thrombocytopenia
110. Lymphoma and leukaemia
111. Haemoglobinopathies
112. Connective tissue disorders
113. Rheumatoid arthritis
114. Cervical spine disorders
115. Kyphoscoliosis
116. Low back pain in pregnancy
117. The parturient with chronic pain
118. Neurological disease
119. Meningitis
120. Acute post-infective peripheral neuropathy

Róisín Monteiro is a Consultant Anaesthetist at Brighton and Sussex University Hospitals' NHS Trust.

Marwa Salman is a Consultant Anaesthetist at Guy's and St Thomas' NHS Foundation Trust.

Surbhi Malhotra is Consultant Anaesthetist at Fiona Stanley Hospital, Perth Australia.

Steve Yentis is a Consultant Anaesthetist at Chelsea and Westminster Hospital and Honorary Reader at Imperial College London