Through six outstanding editions, Dr. David Chestnut’s Obstetric Anesthesia has earned its reputation as the leading reference in the field. The fully revised Seventh Edition continues this tradition of excellence, offering comprehensive, user-friendly, and authoritative clinical information you need to provide optimal care to your patients. From basic science to new research and improved anesthesia techniques to the management of complications, the expert editorial team and contributing authors offer complete coverage of the physiology and pharmacology of obstetric anesthesia for both healthy and high-risk pregnancies. This updated edition remains a must-have resource for obstetric anesthesiologists and obstetricians, nurse anesthetists and anesthesiology assistants, and anesthesiology and obstetric residents and students.
1. PART I: Introduction - p. P1 2. 1. The History of Obstetric Anesthesia - p. 2 3. PART II: Maternal and Fetal Physiology - p. P13 4. 2. Physiologic Changes of Pregnancy - p. 14 5. 3. Uteroplacental Blood Flow - p. 40 6. 4. The Placenta: Anatomy, Physiology, Transfer of Drugs, and Pathology - p. 60 7. PART III: Fetal and Neonatal Assessment and Therapy - p. P79 8. 5. Fetal Physiology - p. 80 9. 6. Antepartum Fetal Assessment and Therapy - p. 98 10. 7. Anesthesia for Fetal Surgery and Other Intrauterine Procedures - p. 114 11. 8. Intrapartum Fetal Assessment and Therapy - p. 139 12. 9. Neonatal Assessment and Resuscitation - p. 154 13. 10. Fetal and Neonatal Neurologic Injury - p. 180 14. 11. Quality, Patient Safety, and Medical Error - p. 204 15. PART IV: Foundations in Obstetric Anesthesia - p. P221 16. 12. Spinal and Epidural Analgesia and Anesthesia: Anatomy, Physiology, and Technique - p. 222 17. 13. Local Anesthetics and Opioids - p. 257 18. 14. Racial and Ethnic Disparities in Obstetric Anesthesia Care - p. 288 19. 15. Obstetric Anesthesia in Low- and Middle-Income Countries - p. 301 20. PART V: Anesthesia Before and During Pregnancy - p. P327 21. 16. Pharmacology During Pregnancy and Lactation - p. 328 22. Abstract - p. 328 23. Chapter Outline - p. 328 24. PHARMACOKINETIC CHANGES DURINGPREGNANCY - p. 328 25. PHARMACODYNAMIC CHANGES DURING PREGNANCY: IMPACT ON ANESTHETIC AND ANALGESIC DRUGS - p. 339 26. GENERAL PRINCIPLES OF TERATOLOGY AND DRUG USE DURING PREGNANCY - p. 341 27. References - p. 355.e22 28. 17. Problems of Early Pregnancy - p. 355.e22 29. 18. Nonobstetric Surgery During Pregnancy - p. 379 30. PART VI: Labor and Vaginal Delivery - p. P403 31. 19. Obstetric Management of Labor and Vaginal Delivery - p. 404 32. 20. Trial of Labor and Vaginal Birth After Cesarean Delivery - p. 418 33. 21. The Pain of Childbirth and Its Effect on the Mother and the Fetus - p. 432 34. 22. Childbirth Preparation and Nonpharmacologic Analgesia - p. 452 35. 23. Systemic and Nonneuraxial Regional Labor Analgesia - p. 462 36. 24. Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery - p. 486 37. Abstract - p. 486 38. Chapter Outline - p. 486 39. PREPARATION FOR NEURAXIAL ANALGESIA - p. 487 40. INITIATION OF EPIDURAL ANALGESIA - p. 491 41. INITIATION OF SPINAL ANALGESIA - p. 498 42. MAINTENANCE OF ANALGESIA - p. 501 43. ANALGESIA/ANESTHESIA FOR VAGINALDELIVERY - p. 508 44. SIDE EFFECTS OF NEURAXIAL ANALGESIA - p. 509 45. COMPLICATIONS OF NEURAXIAL ANALGESIA - p. 513 46. EFFECTS OF NEURAXIAL ANALGESIA ON THE PROGRESS OF LABOR AND OBSTETRIC OUTCOMES - p. 519 47. EFFECTS OF NEURAXIAL ANALGESIA ONTHEFETUS AND NEONATE - p. 528 48. CONCLUSIONS AND RECOMMENDATIONS - p. 531 49. References - p. 533 50. 25. Postpartum Tubal Sterilization - p. 547 51. PART VII: Cesarean Delivery - p. P563 52. 26. Anesthesia for Cesarean Delivery - p. 564 53. 27. Postoperative Analgesia - p. 618 54. PART VIII: Anesthesia Complications - p. P659 55. 28. Aspiration: Risk, Prophylaxis, and Treatment - p. 660 56. 29. The Difficult Airway: Risk, Assessment, Prophylaxis, and Management - p. 681 57. 30. Postpartum Headache - p. 711 58. 31. Neurologic Complications of Pregnancy and Neuraxial Anesthesia - p. 740 59. 32. Shared Decision-Making and Informed Consent in Obstetric Anesthesia - p. 766 60. PART IX: Obstetric Complications - p. P787 61. 33. Preterm Labor and Delivery - p. 788 62. 34. Abnormal Presentation and Multiple Gestation - p. 817 63. 35. Hypertensive Disorders - p. 835 64. 36. Infection - p. 866 65. 37. Antepartum and Postpartum Hemorrhage - p. 887 66. 38. Embolic Disorders - p. 930 67. 39. Maternal Mortality - p. 949 68. PART X: The Patient With Systemic Disease - p. P967 69. 40. Autoimmune Disorders - p. 968 70. 41. Cardiovascular Disease - p. 983 71. 42. Chronic Pain During and After Pregnancy - p. 1022 72. 43. Endocrine Disorders - p. 1045 73. 44. Hematologic and Coagulation Disorders - p. 1076 74. 45. Liver Disease - p. 1102 75. 46. Musculoskeletal Disorders - p. 1116 76. 47. Neurologic and Neuromuscular Disease - p. 1141 77. 48. Obesity - p. 1171 78. 49. Psychiatric Disorders - p. 1190 79. 50. Renal Disease - p. 1198 80. 51. Respiratory Disease - p. 1216 81. 52. Substance Use Disorders - p. 1232 82. 53. Trauma and Critical Care - p. 1260 83. Index - p. 1286 84. Inside Back Cover - p. 1312
Through six outstanding editions, Dr. David Chestnut’s Obstetric Anesthesia has earned its reputation as the leading reference in the field. The fully revised Seventh Edition continues this tradition of excellence, offering comprehensive, user-friendly, and authoritative clinical information you need to provide optimal care to your patients. From basic science to new research and improved anesthesia techniques to the management of complications, the expert editorial team and contributing authors offer complete coverage of the physiology and pharmacology of obstetric anesthesia for both healthy and high-risk pregnancies. This updated edition remains a must-have resource for obstetric anesthesiologists and obstetricians, nurse anesthetists and anesthesiology assistants, and anesthesiology and obstetric residents and students.
1. PART I: Introduction - p. P1 2. 1. The History of Obstetric Anesthesia - p. 2 3. PART II: Maternal and Fetal Physiology - p. P13 4. 2. Physiologic Changes of Pregnancy - p. 14 5. 3. Uteroplacental Blood Flow - p. 40 6. 4. The Placenta: Anatomy, Physiology, Transfer of Drugs, and Pathology - p. 60 7. PART III: Fetal and Neonatal Assessment and Therapy - p. P79 8. 5. Fetal Physiology - p. 80 9. 6. Antepartum Fetal Assessment and Therapy - p. 98 10. 7. Anesthesia for Fetal Surgery and Other Intrauterine Procedures - p. 114 11. 8. Intrapartum Fetal Assessment and Therapy - p. 139 12. 9. Neonatal Assessment and Resuscitation - p. 154 13. 10. Fetal and Neonatal Neurologic Injury - p. 180 14. 11. Quality, Patient Safety, and Medical Error - p. 204 15. PART IV: Foundations in Obstetric Anesthesia - p. P221 16. 12. Spinal and Epidural Analgesia and Anesthesia: Anatomy, Physiology, and Technique - p. 222 17. 13. Local Anesthetics and Opioids - p. 257 18. 14. Racial and Ethnic Disparities in Obstetric Anesthesia Care - p. 288 19. 15. Obstetric Anesthesia in Low- and Middle-Income Countries - p. 301 20. PART V: Anesthesia Before and During Pregnancy - p. P327 21. 16. Pharmacology During Pregnancy and Lactation - p. 328 22. Abstract - p. 328 23. Chapter Outline - p. 328 24. PHARMACOKINETIC CHANGES DURINGPREGNANCY - p. 328 25. PHARMACODYNAMIC CHANGES DURING PREGNANCY: IMPACT ON ANESTHETIC AND ANALGESIC DRUGS - p. 339 26. GENERAL PRINCIPLES OF TERATOLOGY AND DRUG USE DURING PREGNANCY - p. 341 27. References - p. 355.e22 28. 17. Problems of Early Pregnancy - p. 355.e22 29. 18. Nonobstetric Surgery During Pregnancy - p. 379 30. PART VI: Labor and Vaginal Delivery - p. P403 31. 19. Obstetric Management of Labor and Vaginal Delivery - p. 404 32. 20. Trial of Labor and Vaginal Birth After Cesarean Delivery - p. 418 33. 21. The Pain of Childbirth and Its Effect on the Mother and the Fetus - p. 432 34. 22. Childbirth Preparation and Nonpharmacologic Analgesia - p. 452 35. 23. Systemic and Nonneuraxial Regional Labor Analgesia - p. 462 36. 24. Epidural and Spinal Analgesia: Anesthesia for Labor and Vaginal Delivery - p. 486 37. Abstract - p. 486 38. Chapter Outline - p. 486 39. PREPARATION FOR NEURAXIAL ANALGESIA - p. 487 40. INITIATION OF EPIDURAL ANALGESIA - p. 491 41. INITIATION OF SPINAL ANALGESIA - p. 498 42. MAINTENANCE OF ANALGESIA - p. 501 43. ANALGESIA/ANESTHESIA FOR VAGINALDELIVERY - p. 508 44. SIDE EFFECTS OF NEURAXIAL ANALGESIA - p. 509 45. COMPLICATIONS OF NEURAXIAL ANALGESIA - p. 513 46. EFFECTS OF NEURAXIAL ANALGESIA ON THE PROGRESS OF LABOR AND OBSTETRIC OUTCOMES - p. 519 47. EFFECTS OF NEURAXIAL ANALGESIA ONTHEFETUS AND NEONATE - p. 528 48. CONCLUSIONS AND RECOMMENDATIONS - p. 531 49. References - p. 533 50. 25. Postpartum Tubal Sterilization - p. 547 51. PART VII: Cesarean Delivery - p. P563 52. 26. Anesthesia for Cesarean Delivery - p. 564 53. 27. Postoperative Analgesia - p. 618 54. PART VIII: Anesthesia Complications - p. P659 55. 28. Aspiration: Risk, Prophylaxis, and Treatment - p. 660 56. 29. The Difficult Airway: Risk, Assessment, Prophylaxis, and Management - p. 681 57. 30. Postpartum Headache - p. 711 58. 31. Neurologic Complications of Pregnancy and Neuraxial Anesthesia - p. 740 59. 32. Shared Decision-Making and Informed Consent in Obstetric Anesthesia - p. 766 60. PART IX: Obstetric Complications - p. P787 61. 33. Preterm Labor and Delivery - p. 788 62. 34. Abnormal Presentation and Multiple Gestation - p. 817 63. 35. Hypertensive Disorders - p. 835 64. 36. Infection - p. 866 65. 37. Antepartum and Postpartum Hemorrhage - p. 887 66. 38. Embolic Disorders - p. 930 67. 39. Maternal Mortality - p. 949 68. PART X: The Patient With Systemic Disease - p. P967 69. 40. Autoimmune Disorders - p. 968 70. 41. Cardiovascular Disease - p. 983 71. 42. Chronic Pain During and After Pregnancy - p. 1022 72. 43. Endocrine Disorders - p. 1045 73. 44. Hematologic and Coagulation Disorders - p. 1076 74. 45. Liver Disease - p. 1102 75. 46. Musculoskeletal Disorders - p. 1116 76. 47. Neurologic and Neuromuscular Disease - p. 1141 77. 48. Obesity - p. 1171 78. 49. Psychiatric Disorders - p. 1190 79. 50. Renal Disease - p. 1198 80. 51. Respiratory Disease - p. 1216 81. 52. Substance Use Disorders - p. 1232 82. 53. Trauma and Critical Care - p. 1260 83. Index - p. 1286 84. Inside Back Cover - p. 1312
