Education  |   July 2018
A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes
Author Notes
  • From the Department of Anesthesiology (G.L., J.H.W.) and Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Magee-Womens Research Institute and Foundation (F.L.F.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois (N.N.); Department of Anesthesia, University of Iowa Carver College of Medicine, Iowa City, Iowa (C.A.W.); and the Department of Anesthesiology, University of Texas Health Science Center, McGovern Medical School, Houston, Texas (H.K.E.).
  • This article is featured in “This Month in Anesthesiology,” page 1A.
    This article is featured in “This Month in Anesthesiology,” page 1A.×
  • Submitted for publication May 27, 2017. Accepted for publication January 22, 2018.
    Submitted for publication May 27, 2017. Accepted for publication January 22, 2018.×
  • Address correspondence to Dr. Lim: Department of Anesthesiology, Magee-Womens Hospital of UPMC, 300 Halket Street, Suite 3510, Pittsburgh, Pennsylvania 15213. limkg2@upmc.edu. Information on purchasing reprints may be found at www.anesthesiology.org or on the masthead page at the beginning of this issue. Anesthesiology’s articles are made freely accessible to all readers, for personal use only, 6 months from the cover date of the issue.
Article Information
Education / Review Article / Obstetric Anesthesia / Pain Medicine
Education   |   July 2018
A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes
Anesthesiology 7 2018, Vol.129, 192-215. doi:10.1097/ALN.0000000000002182
Anesthesiology 7 2018, Vol.129, 192-215. doi:10.1097/ALN.0000000000002182
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.