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Using Chronic Social Stress to Model Postpartum Depression in Lactating Rodents

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Postpartum hemorrhage: Anesthesia management.

Laurence Ring¹, Ruth Landau¹

¹Department of Anesthesiology, Columbia University Medical Center, Columbia University College of Physicians and Surgeons, 630 West 168th St PH-5, New York, NY 10032, United States.

Seminars in Perinatology

|December 23, 2018

Summary

This summary is machine-generated.

Obstetric anesthesiologists play a vital role in managing postpartum hemorrhage through antenatal risk assessment, tailored delivery planning, and continuous intrapartum and postpartum care to improve maternal safety.

Keywords:

algorithms antenatal consultation autologous blood salvage device coagulopathy communication coordination of care enhanced recovery extracorporeal continuous membrane oxygenation general anesthesia invasive hemodynamic monitoring massive transfusion protocol morbidly adherent placenta neuraxial anesthesia patient safety postpartum hemorrhage preoperative planning preparedness protocols rapid-infuser device resources

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Area of Science:

Obstetrics and Gynecology
Anesthesiology
Maternal-Fetal Medicine

Background:

Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality.
Obstetric anesthesiologists are key members of the labor and delivery team, offering specialized expertise.
Proactive management strategies are essential for improving outcomes in high-risk pregnancies.

Purpose of the Study:

To highlight the critical role of obstetric anesthesiologists in the multidisciplinary management of PPH.
To emphasize the importance of antenatal risk assessment and planning for PPH.
To advocate for the integration of anesthesia expertise throughout the continuum of care for PPH.

Main Methods:

Review of the established roles and responsibilities of obstetric anesthesiologists in PPH management.
Discussion of strategies for antenatal consultation and planning for high-risk patients.
Emphasis on the development of institutional guidelines and protocols involving anesthesia.

Main Results:

Early identification and management of maternal comorbidities can significantly improve safety.
Anesthesia-specific algorithms and guidelines are crucial for systematic PPH management.
Continuous anesthetic and analgesic support from the antenatal to postpartum period enhances maternal recovery.

Conclusions:

Obstetric anesthesiologists are integral to the prevention and management of PPH.
A coordinated, team-based approach with early anesthesia involvement is vital for maternal safety.
Comprehensive anesthetic care, including postpartum management, optimizes maternal outcomes.