Newly Published
Review Article  |   March 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.).
  • Submitted for publication May 27, 2017. Accepted for publication January 22, 2018.
    Submitted for publication May 27, 2017. Accepted for publication January 22, 2018.×
  • Research Support: 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.
    Research Support: 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.×
  • Competing Interests: The authors declare no competing interests.
    Competing Interests: The authors declare no competing interests.×
  • Correspondence: 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
Review Article / Obstetric Anesthesia / Pediatric Anesthesia
Review Article   |   March 2018
A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes
Anesthesiology Newly Published on March 20, 2018. doi:10.1097/ALN.0000000000002182
Anesthesiology Newly Published on March 20, 2018. 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.