ANESTHESIOLOGY FAST REVIEW

ANESTHESIOLOGY_FAST_REVIEWKAPAK1-0-25

OBSTETRIC ANESTHESIOLOGY

Muhammed Halit Satıcı

Konya City Hospital, Department of Anesthesiology and Reanimation, Konya, Türkiye

Satıcı MH. Obstetric Anesthesiology. In: Kazancı D, editor. Anesthesiology Fast Review. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.367-377.

ABSTRACT

  • Anesthetic management must be tailored to the anatomical, physiological, and hormonal changes associated with pregnancy.
  • Increased oxygen consumption and decreased functional residual capacity elevate the risk of rapid desaturation.
  • Increased gastric acid production and reduced lower esophageal sphincter tone heightens aspiration risk, necessitating rapid sequence induction during general anesthesia.
  • Inferior vena cava compression by the gravid uterus can lead to supine hypotensive syndrome, which can be mitigated by a 15-30° left lateral tilt or lateral positioning.
  • Spinal, epidural, and combined spinal-epidural anesthesia are widely employed for labor analgesia and cesarean delivery, each offering distinct advantages.
  • Maternal oxygenation, normocapnia, and adherence to rapid sequence induction protocols are critical for optimizing maternal and fetal outcomes.
  • Regional anesthesia techniques reduce opioid consumption, facilitate early mobilization, and enhance recovery.
  • Conditions such as preeclampsia, obstetric hemorrhage, uterine rupture, and placenta previa require prompt intervention and a multidisciplinary approach.

Keywords: Analgesia; Anesthesia; Cesarean section; Pregnancy; Vaginal birth after cesarean

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