Regional Analgesia in Obstetrics

1. Front Matter

   Pages i-xvi

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2. Use of regional analgesia - an international perspective

   1. Front Matter

      Pages 1-1

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   2. Anaesthesia care for obstetric patients in the United States

      • Susan K. Palmer

      Pages 3-10

   3. Obstetric anaesthesia and analgesia in Latin-America

      • Alfredo Néstor Cattaneo

      Pages 11-18

   4. Pain relief in labour in Great Britain and Ireland

      • Geraldine O’Sullivan

      Pages 19-26

   5. Regional anaesthesia in Scandinavia

      • Tuula Kangas-Saarela, Ulla Bang

      Pages 27-33

   6. Obstetrics anaesthesia practices in some countries in Western Europe

      • Dan Benhamou, Giorgio Capogna

      Pages 35-42

   7. Use of regional anaesthesia in some Central and Eastern European countries

      • Markus Schneider, Irma Kwizaridse, Manfred Mörtl, Gottfried Mitterschiffthaler, Ulrike Stamer, Hinnerk Wulf et al.

      Pages 43-57

   8. Obstetric anaesthesia practices in Turkey

      • Medge D. Owen, Sukran Sahin

      Pages 59-64

   9. Regional anaesthesia and analgesia for obstetrics in Australia and New Zealand

      • Michael Paech

      Pages 65-72

   10. Regional analgesia in obstetrics in the Far East

       • Y. K. Chan, K. P. Ng

       Pages 73-78

3. Developments in techniques in the past decade

   1. Front Matter

      Pages 79-79

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   2. Mobile epidural techniques and new drugs in labour

      • Roshan Fernando, Rachel Collis

      Pages 81-109

   3. Spinal analgesia in labour

      • Rowan Wilson, Gordon Lyons

      Pages 111-122

   4. Top-ups versus infusions and patient-controlled epidural analgesia (PCEA)

      • David R. Gambling

      Pages 123-133

   5. Before the block: fluid preloading and testing the catheter

      • Mark Scrutton, S. Michael Kinsella

      Pages 135-144

   6. Clinical trials: what should we assess?

      • Hamish McLure, Steve Yentis

      Pages 145-155

   7. Clinical trials: up-down sequential allocation

      • Malachy O. Columb

      Pages 157-165

4. Current indications for regional analgesia in labour

   1. Front Matter

      Pages 167-167

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   2. Current indications for regional analgesia: obstetric complications

      • Katrina Erskine, Paul Howell

      Pages 169-180

At the turn of the century it is appropriate to take stock of this relatively young but rapidly developing subject. For the first time, this book brings together information on the status of obstetric regional analgesia in many parts of the globe, and on the intriguing variability of maternal attitudes towards it. Advances in the field over the last decade in new applications, new drugs and techniques and new research tools are also reviewed. Controversial topics such as the effects of regional analgesia on the progress of and outcome of labour, the indications, contraindications and complications, and the place of regional anaesthesia for operative delivery are discussed by numerous experts in the field. The problem of consent and medicolegal aspects are also addressed. Regional Analgesia in Obstetrics should be read by all those involved in the medical care of women in childbirth. Professor Felicity Reynolds is Emeritus Professor of Obstetric Anaesthesia, St Thomas' Hospital, London, UK.

• Anaesthesiology
• Gynaecology
• Infusion
• birth
• child
• complications
• gynecology
• obstetrics
• pain

• Department of Anaesthetics, St Thomas’ Hospital, London, UK

  Felicity Reynolds

Policies and ethics