A review of the impact of obstetric anesthesia on maternal and neonatal outcomes

Grace Lim*, Francesca L. Facco, Naveen Nathan, Jonathan H. Waters, Cynthia A. Wong, Holger K. Eltzschig

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

122 Scopus citations

Abstract

Obstetric anesthesia has evolved over the course of its history to encompass comprehensive aspects of maternal care, ranging from cesarean delivery anesthesia and labor analgesia to maternal resuscitation and patient safety. Anesthesiologists are concerned with maternal and neonatal outcomes, and with preventing and managing complications that may present during childbirth. The current review will focus on recent advances in obstetric anesthesia, including labor anesthesia and analgesia, cesarean delivery anesthesia and analgesia, the effects of maternal anesthesia on breastfeeding and fever, and maternal safety. The impact of these advances on maternal and neonatal outcomes is discussed. Past and future progress in this field will continue to have significant implications on the health of women and children.

Original languageEnglish (US)
Pages (from-to)192-215
Number of pages24
JournalAnesthesiology
Volume129
Issue number1
DOIs
StatePublished - 2018

Funding

Supported by the Department of Anesthesiology and the Department of Obstetrics and Gynecology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Department of Anesthesiology, University of Iowa Carver College of Medicine and McGovern Medical School, Iowa City, Iowa; and by the Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois. Dr. Lim is supported by an award from the NIH/ORWH Building Interdisciplinary Research Careers in Women’s Health (BIRCWH), NIH K12HD043441 and by the NIH Ruth Kirschstein National Service Award, NIH T32MG075770. Dr. Eltzschig is supported by National Institutes of Health grant Nos. R01-DK097075, R01-HL098294, POI-HL114457, R01-DK082509, R01-HL109233, R01-DK109574, R01-HL119837, and R01-HL133900. Dr. Facco is supported by National Institutes of Health grant No. R01-HL120354.

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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