Labor analgesia for the parturient with cardiac disease: what does an obstetrician need to know?
Maternal heart disease complicates 0.2-3% of pregnancies. The optimal management of the pregnant patient with cardiac disease depends on the cooperative efforts of the obstetrician, the cardiologist and the anesthesiologist involved in peripartum care. A comprehensive understanding of physiology of pregnancy and pathophysiology of underlying cardiac disease is of primary importance in provision of obstetric analgesia or anesthesia for this high-risk group of patients. This article will review the current guidelines and standards pertinent to management of obstetric analgesia and anesthesia in parturients with cardiac disease.
Kuczkowski
Krzysztof M
KM
Department of Anesthesiology, University of California, San Diego, California, USA. kkuczkowski@ucsd.edu
D000328:Adult; D016362:Analgesia, Obstetrical / Q000592:standards* / Q000639:trends; D036861:Delivery, Obstetric / Q000379:methods*; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008423:Maternal Age; D010818:Practice Patterns, Physicians'; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D011295:Prenatal Care; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome