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Chapter 60 - Anesthesia for a Vaginal Delivery

from Section 6 - Obstetric Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
Sarah Zach ,
Alma Hoxha  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 26-year-old female, G3P2, 39 weeks pregnant, comes to labor and delivery complaining of 6/10 pain with contractions and is asking for an epidural. Her medical history is only significant for the recent diagnosis of preeclampsia. Vital signs on admission include a blood pressure of 165/82 mm Hg, a heart rate of 98, a respiratory rate of 19, and a temperature of 36.3 °C. What kind of analgesia would you offer to this patient? Do you have any concerns?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 257 - 262
Publisher: Cambridge University Press
Print publication year: 2023

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References

Barash, PG, Cullen, BF, Stoelting, RK, et al. Clinical Anesthesia, 8th ed. Philadelphia: Wolters Kluwer, 2017, pp. 1148–52.Google Scholar
Chestnut, DH, Wong, CA, et al. Chestnut’s Obstetric Anesthesia, 6th ed. Philadelphia: Elsevier, 2020, pp. 476–94.Google Scholar
Faust, RJ, Cucchiara, RF. Anesthesiology Review, 3rd ed. Philadelphia: Churchill Livingstone, 2002, pp. 430–1, 438–40, 444–5.Google Scholar
Gropper, MA, Miller, RD, et al. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 2017–22.Google Scholar

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