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Ch. 1 Pain Mechanisms in Labor 3
Ch. 2 Physiologic Changes of Pregnancy 31
Ch. 3 Fetal Physiology 46
Ch. 4 Uteroplacental Blood Flow 62
Ch. 5 Intrapartum Fetal Assessment 69
Ch. 6 Pharmacology of Local Anesthetics 81
Ch. 7 Perinatal Pharmacology of Local Anesthetics and Opioids 96
Ch. 8 The Effects of Drugs Used in Pregnancy 110
Ch. 9 Functional Anatomy of Central Blockade in Obstetrics 121
Ch. 10 Epidural Analgesia for Labor 145
Ch. 11 The Combined Spinal-Epidural Technique 157
Ch. 12 Continuous Spinal Anesthesia Techniques for Labor and Delivery 183
Ch. 13 Patient-Controlled Epidural Analgesia 189
Ch. 14 Nonpharmacologic Alternatives for Obstetric Analgesia 203
Ch. 15 Systemic Analgesia for Labor 209
Ch. 16 Inhalation Agents for Labor 229
Ch. 17 General Anesthesia for Cesarean Section 239
Ch. 18 Regional Anesthesia for Cesarean Section 245
Ch. 19 Anesthesia for Presumed Fetal Jeopardy 267
Ch. 20 Anesthesia for Postpartum Surgery 281
Ch. 21 Anesthesia for Nonobstetric Surgery in the Pregnant Patient 289
Ch. 22 Anesthesia for Fetal Surgery 299
Ch. 23 Anesthesia for Assisted Reproductive Technologies 311
Ch. 24 Postcesarean Analgesia: Patient-Controlled Analgesia and Neuraxial Techniques 320
Ch. 25 Preterm Labor 345
Ch. 26 Multiple Gestation and Fetal Malpresentation 356
Ch. 27 Anesthesia for Vaginal Birth after Cesarean Delivery 367
Ch. 28 The Febrile Parturient 375
Ch. 29 Antepartum Hemorrhage 392
Ch. 30 Postpartum Hemorrhage 418
Ch. 31 Air and Amniotic Fluid Embolism 435
Ch. 32 Difficult and Failed Intubation 455
Ch. 33 Pulmonary Aspiration 465
Ch. 34 Allergic Reactions 475
Ch. 35 Post-Dural Puncture Headache 487
Ch. 36 Complications of Regional Anesthesia 504
Ch. 37 The Obese Parturient 527
Ch. 38 Hypetensive Disorders and Renal Disease in Pregnancy and Labor 541
Ch. 39 Cardiovascular Disease in the Pregnant Patient 553
Ch. 40 Pulmonary Disease in the Pregnant Patient 565
Ch. 41 Anesthetic Management of Diabetic Parturients 575
Ch. 42 Hematologic Disease 586
Ch. 43 Autoimmune Disease 597
Ch. 44 Hepatic Disease 607
Ch. 45 Musculoskeletal Disorders 617
Ch. 46 Anesthesia for the Parturient with Neurologic Disease 630
Ch. 47 Intracranial Disease During Pregnancy: Anesthetic Management 643
Ch. 48 Drug Abuse in Pregnancy 655
Ch. 49 Acquired Immunodeficiency Syndrome and Obstetric Anesthesia 668
Ch. 50 Nausea and Vomiting 687
Ch. 51 Nerve Blocks in the Pregnant Patient 693
Ch. 52 Neonatal Resuscitation 707
Ch. 53 Critical Care Management of the Pregnant Patient 716
Ch. 54 Maternal Mortality 733
Ch. 55 Ethical Issues and Consent in Obstetric Anesthesia 744
Ch. 56 Patient Satisfaction: Capturing Patients' Perspective in the Evaluation of Obstetric Care 754
App. A Regional Anesthesia in the Third World: Is It an Option? 761
App. B Practice Guidelines for Obstetrical Anesthesia 764
App. C Society for Obstetric Anesthesia and Perinatology: Outline of Curriculum Goals for Anesthesia Residents Completing Clinical Anesthesia Year 3 771
App. D Australian and New Zealand College of Anaesthetists: Anesthesiology Recommendations and Guidelines 775
Index 799