Library resource guides: Obstetric anaesthesia: Overview + SIG resources

Spotlight

Managing Obstetric Emergencies and Trauma: The MOET Course Manual, 3e by Sara Paterson-Brown; Charlotte Howell [ed] Obstetric emergencies are unplanned and often unanticipated. Management requires a clear understanding of the life-saving and damage-limiting treatments that can be implemented.
ISBN: 9781316611296

Publication Date: 2016-06-16
Neonatal EEG: Atlas and Interpretation by Akihisa Okumura; Hiroyuki Kidokoro [eds] This book aims to simplify the complex interpretation of neonatal EEG, focusing on key patterns essential for the prevention and treatment of brain damages. The book provides a comprehensive collection of normal and abnormal EEGs samples, systematically categorized by postmenstrual age. Each case is accompanied by detailed observations and unique methods of interpretation, such as identifying abnormalities related to the timing of brain injuries.
ISBN: 9789819607259

Publication Date: 2025-03-05
Peripartum Care of the Pregnant Patient: A Question-And-Answer Review for Anesthesiologists and Obstetricians by Ashish C. Sinha; Ioana F. Pasca [eds] Are you an anesthesiologist or obstetrician navigating the complex landscape of peripartum care? The intricacies of managing pregnant patients during the critical peripartum period are covered in this concise and practical question-and-answer review. This book promotes learning evidence-based current knowledge on the clinical aspects of the obstetric parturient from the standpoint of anesthesiology, obstetrics, surgery, paediatrics, and public health. Each topic is initiated with several multiple-choice questions, mimicking the ABA and other board certification exams. Chapters are authored by contributors from multiple specialties offering their expert guidance based on evidence-based guidelines as well as their clinical experience.
ISBN: 9783031627552

Publication Date: 2024-09-04

Quintela E, Hind D. Disparities in obstetric anaesthesia: an urgent call for action. Anaesthesia. 2025;80(7):744-747. Keywords: discrimination; equity; ethnicity; obstetric anaesthesia.
Carlsen MIS, Brede JR, Søvik E, Uleberg O. Maternal Mortality From Obstetric Hemorrhage: It Is Time to Inflate the Aortic Balloon. Anesth Analg. Epub May 30, 2025.
Charles EA, Carter H, Stanford S, et al. Intraoperative pain during cesarean delivery under neuraxial anesthesia: A systematic review and meta-analysis. Anesthesiology. Epub April 4, 2025.
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Abstract
Background: Neuraxial anesthesia is the gold standard technique for cesarean delivery, however pain during cesarean delivery may be underreported. The primary aim of this systematic review and meta-analysis was to determine the incidence of patient reported intraoperative pain during cesarean delivery under neuraxial anesthesia.

Methods: A literature search of databases (PubMed MEDLINE, Embase, Web of Science, Scopus, Cochrane Database of Systematic Reviews, and Central Register of Controlled Trials) was conducted. Search topics included terminology concerning cesarean delivery, neuraxial anesthesia, pain, and incidence. Meta-analyses were performed to calculate pooled incidences of patient reported pain and how mode of anesthesia influenced the incidence of patient reported pain, with included papers assessed for risk of bias.

Results: A total of 2061 abstracts were screened; 34 articles were included (21 randomized studies and 13 non-randomized studies). The crude incidence of intraoperative pain under neuraxial anesthesia was 10.8% (1,229 out of 11,351 patients) and the pooled incidence was 17% (95%CI: 13% - 22%; 1,229 out of 11,351 patients). Patients who received spinal anesthesia had the lowest pooled incidence of pain of 14% (95%CI: 10.0% - 20.0%; 662 out of 8,002 patients) and those who received epidural top-up had the highest pooled incidence of pain of 33% (95%CI: 17.0% - 54.0%; 253 out of 1,395 patients). Risk of bias assessments showed high risk of bias in half of the included studies.

Conclusions: Patient reported pain during cesarean delivery under neuraxial anesthesia is common, with spinal and combined spinal-epidural anesthesia reporting a lower incidence of pain than epidural anesthesia. Intraoperative pain can have significant psychological impact for patients and medicolegal implications for providers. Further prospective studies are required to characterize and understand the impact of patient experiences of pain and develop techniques to reduce this complication.

AudioDigest Spotlight

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Obstetric AudioDigest Links

Obstetric Anesthesia Review (11 Jul 2025)
This program aims to improve anesthesia outcomes in obstetric surgeries.
Updates in Obstetric Anesethesia (28 Nov 2024)
The goal of this program is to improve patient care in obstetric anesthesia
Obstetric Anesthesia (7 March 2024)
The goal of this program is to examine the adverse effects on breastfeeding in neostigmine vs glycopyrrolate and pain scores associated with dexamethasone.

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Obstetric Anaesthesia SIG web page
For more information about this Special Interest Group (SIG), including events, activities, resources and membership, please visit this webpage.

SIG resources

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2 April 2022

9 February 2021

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