title: [Obstetrical aspects of perioperative medicine].
abstract: Recently the most frequently applied surgical procedure worldwide has been Cesarean section. It is essential to perform the operation without any complication. In addition, a fast postoperative recovery must be provided, because all mothers must have the chance for being together with their newborn infant even on the first day. The maternal mortality rates of Cesarean section significantly decreased in the last decades due to the planned team work as well as the widely applied regional (spinal and epidural) anesthetic procedures. Apart from the obstetrician and neonatologist the anesthesiologist is the member of the perinatal team, too, who is responsible for the patient's perioperative care. To prevent complications and have an early successful treatment the anesthesiologist should be informed by the pregnant woman' s health status in time in order to be able to plan the perioperative management. The high-risk groups of pregnant women, the most common causes of maternal death and possibilities of prevention and treatment are discussed.
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Aneszteziológiai és Intenzív Terápiás Klinika Budapest Kútvölgyi út 4. 1125 Maternity Szülészeti és Nőgyógyászati Magánklinika Budapest.
authors.forename: Petronella
authors.initials: P
authors.lastname: Hupuczi
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Aneszteziológiai és Intenzív Terápiás Klinika Budapest Kútvölgyi út 4. 1125.
authors.forename: János
authors.initials: J
authors.lastname: Gál
mesh_terms: D002585:Cesarean Section / Q000401:mortality / Q000592:standards / Q000639:trends; D004461:Eclampsia / Q000517:prevention & control*; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007231:Infant, Newborn; D009765:Obesity / Q000150:complications* / Q000453:epidemiology; D009774:Obstetrics / Q000592:standards / Q000639:trends; D059408:Pain Management / Q000379:methods*; D019990:Perioperative Care / Q000592:standards / Q000639:trends; D006473:Postpartum Hemorrhage / Q000628:therapy; D011225:Pre-Eclampsia / Q000628:therapy; D011247:Pregnancy; D012307:Risk Factors; D013290:Streptococcal Infections / Q000382:microbiology / Q000517:prevention & control*; D013297:Streptococcus pyogenes / Q000302:isolation & purification
keywords: anyai mortalitás; epidural and spinal anesthesia; epiduralis és spinalis anesztézia; maternal mortality; obesitas; obesity; obstetric hemorrhages; obstetric sepsis; perioperative pain relief; perioperatív fájdalomcsillapítás; praeeclampsia/eclampsia; preeclampsia/eclampsia; szülészeti szepszis; szülészeti vérzések