Document Detail

At the water's edge: where obstetrics and anesthesia meet.
MedLine Citation:
PMID:  1988898     Owner:  NLM     Status:  MEDLINE    
Conflict exists between satisfying the parturient's desire for oral intake and traditional restrictive standards of obstetric and anesthesia departments. Surveys of institutions providing obstetric services reveal greatly varying oral intake policy. There is neither evidence of benefit in withholding fluids nor evidence of risk in allowing them. Prolonged fasting has potential liabilities. Maternal mortality is rare, and anesthesia-related causes are not among the common etiologies. Aspiration is not a significant factor in the modern era. Higher risk for anesthesia morbidity is associated with general anesthesia, particularly difficult intubation. Instead of implicating oral intake as a risk factor for pulmonary aspiration, the literature consistently emphasizes the critical role of properly trained and dedicated obstetric anesthesia personnel. Unless parturients are not candidates for regional anesthesia, a nonparticulate diet should be allowed. Liberal use of regional anesthesia as well as antacid prophylaxis is recommended.
K W Elkington
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  77     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-02-27     Completed Date:  1991-02-27     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  304-8     Citation Subset:  AIM; IM    
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MeSH Terms
Anesthesia, Obstetrical* / adverse effects*,  mortality
Cesarean Section
Labor, Obstetric
Pneumonia, Aspiration / etiology,  prevention & control*
Risk Factors
Comment In:
Obstet Gynecol. 1991 Jun;77(6):965-7   [PMID:  1867684 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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