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The complex healthcare needs of pregnant patients, where care is tailored to not one but two patients, pose specific challenges to anesthesiologists. This book provides concise, case-based discussion on the clinical scenarios and challenges faced in the provision of anesthesia and pain relief for expectant mothers. In the style of problem-based learning, each case is presented as a short scenario, followed by discussion of the causes, risk factors, management and controversies involved. The textbook features a wide range of cases, from common clinical scenarios that are experienced in day-to-day practice to the rare but significant pathologies less familiar to most clinicians. With a global base of contributors, the book is relevant to practice across the world. The concise format supports both trainee anesthesiologists in their initial experiences of obstetrics and exam preparation, and experienced clinicians in need of a reliable, quick-reference text.
The long-term outcome of intensive care unit (ICU)-acquired weakness has far-reaching consequences for the patient. Healthy postpartum women are at increased risk of postpartum depression. The treatment of postpartum depression has a biopsychosocial basis. It is important to recognize women at risk for the development of post-traumatic stress disorder (PTSD), and certain measures can be taken to reduce the risk of developing it. In order to help the obstetric patient to recover fully from ICU and enable her to have a good quality of life, measures must be taken to prevent cognitive impairment and delirium. Fertility and pregnancy after recovery from critical illness presents a challenge because of the limited data on which to base counseling. Counseling should address any risks to the pregnancy that might result from the inciting event or condition as well as any new risks resulting from sequelae.