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Changing Mallampati score during labour

E L Farcon1, M H Kim, G F Marx

  • 1Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, New York 10461.

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie
|January 1, 1994
PubMed
Summary
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A woman

Area of Science:

  • Obstetrics and Gynecology
  • Anesthesiology
  • Airway Management

Background:

  • Airway assessment is crucial in obstetric patients.
  • Mallampati score is a common tool for airway evaluation.
  • Labor can potentially alter airway anatomy.

Observation:

  • A healthy primigravida's Mallampati score changed during labor.
  • Initial assessment was Mallampati class I-II.
  • At 8 cm dilation, airway evaluation revealed a score of III-IV due to pharyngeal edema.

Findings:

  • Mallampati score increased significantly during strenuous pushing in labor.
  • The airway obstruction resolved postpartum.
  • The score returned to baseline within 12 hours.

Related Experiment Videos

Implications:

  • Repeat airway assessment before general anesthesia in obstetric patients is recommended.
  • Dynamic changes in the airway during labor require consideration.
  • This case highlights potential risks associated with airway changes during delivery.