Obstetrics Gabbe Chapter 16: Obstetric Anaesthesia

Front 1

Analgesiaduring labor can reduce or prevent potentially adverse stressresponses to the pain of labor, including:

Back 1

postpartum depression

Front 2

Parenteralopioids for labor analgesia work primarily by sedation and, except athigh doses, result in _________ of maternal pain.

Back 2

minimal reduction

Front 3

Side effects of opioids include maternal nausea and ______________ in both the mother and newborn.

Back 3

respiratory depression

Front 4

Theroutine use of _____________ in conjunction with opioids should beavoided.

Back 4

promethazine

Front 5

Placentaltransfer of a drug between mother and fetus is governed by thecharacteristics of the drug, including its:

Back 5

1. drug size,

2. lipid solubility, and

3. ionization;

4. maternal blood levels and

5. uterine blood flow;

6. placental circulation; and the f

7. etal circulation.

Front 6

Continuousneuraxial (epidural or spinal) analgesia is the ______________ formof intrapartum pain relief currently available.

Back 6

most effective

Front 7

Spinalopioids as part of a CSE (Combined Spinal Epidural) technique provide excellent analgesia duringmuch of the ______________ stage of labor

Back 7

first

Front 8

Most patients need ___________ with epidural local anesthetics later in labor and during the __________ stage.

Back 8

additional analgesia, second

Front 9

Spinal opioids decrease or avoid the risks of local anesthetic toxicity, ___________ spinal anesthesia, and _______ block.

Back 9

high, motor

Front 10

Sideeffects and complications of neuraxial anesthesia include:

Back 10

1. hypotension,

2. local anesthetic toxicity,

3. total spinal anesthesia,

4. neurologic injury, and

5. spinal headache.

Front 11

Epiduralanalgesia does not increase the rate of ____________ but mayincrease oxytocin use and the rate of instrument-assisted vaginaldeliveries.

Back 11

cesarean delivery

Front 12

The duration of the second stage is increased by:

Back 12

15 to 30 minutes.

Front 13

Epiduralanalgesia is associated with an increased rate of maternal __________ during labor

Back 13

fever

Front 14

Generalanesthesia is used for less than _____ of elective and roughly _______ ofemergent cesarean deliveries.

Back 14

5%, 25%

Front 15

General anesthesia can be associated with __________________________, causes of anesthesia-related maternal mortality.

Back 15

failed intubation and aspiration