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.
Department of Anesthesiology, University of California, San Diego, California, USA. kkuczkowski@ucsd.edu
Krzysztof M
KM
Kuczkowski
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