Obstetric Anesthesia Digest最新文献

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Effect of an Oxytocin Protocol on Secondary Uterotonic Use in Patients Undergoing Cesarean Delivery 催产素方案对剖宫产患者二次使用子宫收缩剂的影响
Obstetric Anesthesia Digest Pub Date : 2024-05-24 DOI: 10.1097/01.aoa.0001016016.32597.6a
P. R. Davis, H. Sviggum, K.W. Arendt, R.J. Pompeian, C. Kurian, V.E. Torbenson, A.C. Hanson, P.J. Schulte, K.D. Hamilton, E.E. Sharpe
{"title":"Effect of an Oxytocin Protocol on Secondary Uterotonic Use in Patients Undergoing Cesarean Delivery","authors":"P. R. Davis, H. Sviggum, K.W. Arendt, R.J. Pompeian, C. Kurian, V.E. Torbenson, A.C. Hanson, P.J. Schulte, K.D. Hamilton, E.E. Sharpe","doi":"10.1097/01.aoa.0001016016.32597.6a","DOIUrl":"https://doi.org/10.1097/01.aoa.0001016016.32597.6a","url":null,"abstract":"(Can J Anaesth. 2023;70(7):1194–1201)\u0000 Following childbirth, it is customary to administer oxytocin to prevent postpartum hemorrhage (PPH). Oxytocin, the first line uterotonic, is typically given intravenously immediately after vaginal and cesarean delivery. Different oxytocin protocols exist and the optimal dosing regimen is yet to be determined. A rule of three’s oxytocin protocol was previously described and found to reduce the overall amount of oxytocin administered during scheduled cesarean deliveries (CD) while maintaining adequate uterine tone. The aim of the study was to compare a modified rule of three’s oxytocin protocol to a free-flow oxytocin infusion after CD.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"14 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141100203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Two Randomized Trials of Low-Dose Calcium Supplementation in Pregnancy 两项妊娠期低剂量钙补充剂随机试验
Obstetric Anesthesia Digest Pub Date : 2024-05-24 DOI: 10.1097/01.aoa.0001015996.60573.8d
P. Dwarkanath, A. Muhihi, C.R. Sudfeld, B. Wylie, W.W. Fawzi
{"title":"Two Randomized Trials of Low-Dose Calcium Supplementation in Pregnancy","authors":"P. Dwarkanath, A. Muhihi, C.R. Sudfeld, B. Wylie, W.W. Fawzi","doi":"10.1097/01.aoa.0001015996.60573.8d","DOIUrl":"https://doi.org/10.1097/01.aoa.0001015996.60573.8d","url":null,"abstract":"(N Engl J Med. 2024;390:143–153)\u0000 Many maternal deaths across the globe are associated with hypertensive disorders of pregnancy (HDP), including pre-eclampsia. Many interventions to prevent and treat HDP have been developed, one of which is calcium supplementation. The World Health Organization (WHO) recommends calcium supplementation in individuals with low dietary calcium intake, which has been previously shown to reduce the risk of pre-eclampsia by more than 50%, as well as reducing the risk of preterm birth by 24%. Studies have additionally shown at small sample sizes that low-dose calcium compared with higher doses has similar benefits. Despite the WHO recommendation, few countries have implemented calcium regimens as part of routine prenatal care, and few studies have been done in large samples to validate its efficacy. This study was designed to assess low-dose calcium supplementation and its effect on the risk of pre-eclampsia and preterm birth in a large sample.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141099748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in State-Level Maternal Mortality by Racial and Ethnic Group in the United States 美国各州按种族和族裔群体分列的孕产妇死亡率趋势
Obstetric Anesthesia Digest Pub Date : 2024-05-24 DOI: 10.1097/01.aoa.0001015028.22162.ad
L. G. Fleszar, A. S. Bryant, C.O. Johnson, B.F. Blacker, A. Aravkin, M. Baumann, L. Dwyer-Lindgren, Y. O. Kelly, K. Maass, P. Zheng, G. A. Roth
{"title":"Trends in State-Level Maternal Mortality by Racial and Ethnic Group in the United States","authors":"L. G. Fleszar, A. S. Bryant, C.O. Johnson, B.F. Blacker, A. Aravkin, M. Baumann, L. Dwyer-Lindgren, Y. O. Kelly, K. Maass, P. Zheng, G. A. Roth","doi":"10.1097/01.aoa.0001015028.22162.ad","DOIUrl":"https://doi.org/10.1097/01.aoa.0001015028.22162.ad","url":null,"abstract":"(JAMA. 2023;330(1):52–61. doi: 10.1001/jama.2023.9043)\u0000 Although the US spends more per person on health care, the maternal mortality rate (MMR) has continued to increase in the past 2 decades, while other high-income countries have been able to decrease maternal mortality. The Global Burden of Disease has studied MMRs and has estimated about 4 deaths per 100,000 live births to 44 deaths per 100,000 live births in high-income countries in 2019. Further, in the non-Hispanic Black population and non-Hispanic White population, MMRs are 2 to 4 times higher. There is a paucity of data regarding state-level trends of maternal mortality in many states. This study provided estimates of MMRs by state to support the development of maternal mortality surveillance.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"2 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141100439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A National Cohort Study to Investigate the Association Between Ethnicity and the Provision of Care in Obstetric Anesthesia in England Between 2011 and 2021 一项全国队列研究,旨在调查 2011 年至 2021 年间英格兰种族与产科麻醉护理之间的关系
Obstetric Anesthesia Digest Pub Date : 2024-05-24 DOI: 10.1097/01.aoa.0001016096.33011.79
J. Bamber, R. Goldacre, D.N. Lucas, S. Quasim, M. Knight
{"title":"A National Cohort Study to Investigate the Association Between Ethnicity and the Provision of Care in Obstetric Anesthesia in England Between 2011 and 2021","authors":"J. Bamber, R. Goldacre, D.N. Lucas, S. Quasim, M. Knight","doi":"10.1097/01.aoa.0001016096.33011.79","DOIUrl":"https://doi.org/10.1097/01.aoa.0001016096.33011.79","url":null,"abstract":"(Anaesthesia. 2023;78:820–829)\u0000 Evidence exists that there are ethnic disparities in obstetric and neonatal care in the UK, showing that maternal death, stillbirth, preterm labor, and fetal growth restriction are more common in Black and South Asian women compared with White women. In addition, ethnic minorities more often report a negative maternity care experience than White women. In a similar vein, ethnic differences in anesthesia care in the UK have not been studied; in the United States, research has shown that black women are less likely to receive neuraxial anesthesia (NA) and are more likely to receive general anesthesia (GA), but this may potentially reflect socioeconomic status in a way that is not generalizable to the UK health care system. This study used national maternity data to examine ethnic disparities in delivery of anesthesia, with specific focus on GA for individuals undergoing cesarean delivery (CD) and NA for individuals undergoing vaginal delivery (VD).","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"65 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141102387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Association Between Epidural Analgesia During Labor and Mother-Infant Bonding 分娩期硬膜外镇痛与母婴结合的关系
Obstetric Anesthesia Digest Pub Date : 2024-05-24 DOI: 10.1097/01.aoa.0001016112.28860.5d
Y. Binyamin, T. Wainstock, E. Sheiner, T. Battat, I. Reuveni, G. Pariente
{"title":"The Association Between Epidural Analgesia During Labor and Mother-Infant Bonding","authors":"Y. Binyamin, T. Wainstock, E. Sheiner, T. Battat, I. Reuveni, G. Pariente","doi":"10.1097/01.aoa.0001016112.28860.5d","DOIUrl":"https://doi.org/10.1097/01.aoa.0001016112.28860.5d","url":null,"abstract":"(J Clin Anesth. 2022;80:110795 | https://doi.org/10.1016/j.jclinane.2022.110795 |)\u0000 Labor involves significant pain for the mother, influenced by various factors. The ability to control this pain positively impacts the mother’s psychological and physiological well-being. Epidural analgesia is commonly chosen for pain relief during vaginal delivery. Mother-infant bonding, crucial for a child’s later attachment and self-perception, develops from pregnancy into early childhood. A strong bond correlates with positive parenting, cognitive development, and improved neurobehavioral outcomes. Impaired bonding, affecting 7% to 11.3% of mothers, can lead to long-term issues for both mother and child, including depression, anxiety, and socioemotional challenges. Several risk factors for impaired bonding include primiparity, negative feelings toward pregnancy, low birth weight, higher education, and postpartum depression. Pain during labor, a significant element, may impact the bonding process. Studies on epidural analgesia’s association with postpartum depression yield conflicting results, and no research examines its connection to mother-infant bonding. The primary study’s aim is to explore the link between epidural analgesia and mother-infant bonding, with a secondary focus on its association with postpartum depression immediately after childbirth.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"5 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141099560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Occipital Nerve Block Compared With Acetaminophen and Caffeine for Headache Treatment in Pregnancy 枕神经阻滞与对乙酰氨基酚和咖啡因治疗妊娠期头痛的比较
Obstetric Anesthesia Digest Pub Date : 2024-05-24 DOI: 10.1097/01.aoa.0001016084.00058.09
E.T. Bushman, C.T. Blanchard, G.D. Cozzi, A.M. Davis, R. Sinkey
{"title":"Occipital Nerve Block Compared With Acetaminophen and Caffeine for Headache Treatment in Pregnancy","authors":"E.T. Bushman, C.T. Blanchard, G.D. Cozzi, A.M. Davis, R. Sinkey","doi":"10.1097/01.aoa.0001016084.00058.09","DOIUrl":"https://doi.org/10.1097/01.aoa.0001016084.00058.09","url":null,"abstract":"(Obstet Gynecol. 2023;142:1179–1188)\u0000 Tension and migraine headaches affect a significant portion of individuals of reproductive age and are a common complaint during pregnancy. Unfortunately, headache treatment during pregnancy can be difficult because of the effect of some treatments on fetal health and a fear of masking secondary headaches that could be related to pregnancy complications such as pre-eclampsia. One treatment that has been established as effective in a nonobstetric population is occipital nerve block, which involves a subcutaneous injection of local anesthetic into the area surrounding the occipital nerves. The local anesthetics typically used are consistent with those used in epidural analgesia during labor and delivery, and thus are theoretically safe in pregnant individuals. This study was designed to assess the efficacy of occipital nerve block treatment for acute headache in pregnancy compared with standard care.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"19 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141100034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intravenous Calcium to Decrease Blood Loss During Intrapartum Cesarean Delivery 静脉注射钙剂以减少剖宫产术中的失血量
Obstetric Anesthesia Digest Pub Date : 2024-05-24 DOI: 10.1097/01.aoa.0001015896.15507.ff
J.R. Ansari, A. Yarmosh, G. Michel, D. Lyell, H. Hedlin, D.N. Cornfield, B. Carvalho, B.T. Bateman
{"title":"Intravenous Calcium to Decrease Blood Loss During Intrapartum Cesarean Delivery","authors":"J.R. Ansari, A. Yarmosh, G. Michel, D. Lyell, H. Hedlin, D.N. Cornfield, B. Carvalho, B.T. Bateman","doi":"10.1097/01.aoa.0001015896.15507.ff","DOIUrl":"https://doi.org/10.1097/01.aoa.0001015896.15507.ff","url":null,"abstract":"(Obstet Gynecol 2024;143(1):104–112)\u0000 Postpartum hemorrhage (PPH) is the leading cause of maternal morbidity and mortality worldwide; uterine atony contributes 70% to 80% of cases to PPH. If PPH happens even after oxytocin administration, other therapies are few and ineffective, as well as unavailable in many areas of the world. One treatment that has potential for uterine atony treatment is calcium chloride (CaCl). Currently CaCl is used to treat magnesium toxicity and hypocalcemia, but increasing calcium concentration could improve the contractile ability of the uterus. This study was designed to test the hypothesis that calcium infusion would decrease quantitative blood loss at delivery in a population at risk of atonic PPH. The primary outcome was the effect of CaCl on quantitative blood loss measured at the time of intrapartum cesarean delivery.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"68 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141101822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trial of Selective Early Treatment of Patent Ductus Arteriosus With Ibuprofen 布洛芬选择性早期治疗动脉导管未闭试验
Obstetric Anesthesia Digest Pub Date : 2024-05-24 DOI: 10.1097/01.aoa.0001016076.63136.4a
S. Gupta, N. Subhedar, J. L. Bell, D. Field, U. Bowler, E. Juszczak
{"title":"Trial of Selective Early Treatment of Patent Ductus Arteriosus With Ibuprofen","authors":"S. Gupta, N. Subhedar, J. L. Bell, D. Field, U. Bowler, E. Juszczak","doi":"10.1097/01.aoa.0001016076.63136.4a","DOIUrl":"https://doi.org/10.1097/01.aoa.0001016076.63136.4a","url":null,"abstract":"(N Engl J Med. 2024;390(4):314–325)\u0000 In the past 20 years, survival rates among exceedingly premature neonates have risen. There is also a documented slight decrease in neonatal illness in the same time period, although bronchopulmonary dysplasia rates have climbed. Among exceedingly premature neonates, a patent ductus arteriosus (PDA) with a diameter of at least 1.5 mm persisting beyond 72 hours after birth correlates with heightened mortality, morbidity, and a greater chance of bronchopulmonary dysplasia compared with infants without a PDA. The occurrence of PDA declines as gestational age decreases. The risk of bronchopulmonary dysplasia or death in exceedingly premature neonates also rises with PDA persisting beyond 1 to 2 weeks after birth.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"64 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141101931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of the US Affordable Care Act-Dependent Coverage Provision With Labor Neuraxial Analgesia Use 美国《平价医疗法案》--依赖性医保条款与使用分娩神经镇痛药的关系
Obstetric Anesthesia Digest Pub Date : 2024-05-24 DOI: 10.1097/01.aoa.0001015948.03186.31
J. Guglielminotti, J.R. Daw, R. Landau, A.M. Friedman, G. Li
{"title":"Association of the US Affordable Care Act-Dependent Coverage Provision With Labor Neuraxial Analgesia Use","authors":"J. Guglielminotti, J.R. Daw, R. Landau, A.M. Friedman, G. Li","doi":"10.1097/01.aoa.0001015948.03186.31","DOIUrl":"https://doi.org/10.1097/01.aoa.0001015948.03186.31","url":null,"abstract":"(Anesthesiology. 2023;139:274–286)\u0000 Neuraxial analgesia during labor is both safe and effective and has been associated with a lower risk of severe maternal morbidity. However, utilization is lower in minority groups, who experience a higher risk of severe maternal morbidity. Therefore, it is imperative to increase utilization and access, especially among minority ethnic and racial groups. This study examined the factor of health insurance access, specifically the effect of the Dependent Coverage Provision for the Patient Protection and Affordable Care Act on the use of neuraxial analgesia during labor, both in women from minority groups and overall.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"8 46","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141098676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Proportions of Term or Late Preterm Births After Exposure to Early Antenatal Corticosteroids, and Outcomes: Systematic Review and Meta-Analysis of 1.6 Million Infants 早期使用产前皮质类固醇后,足月或晚期早产的比例及结果》(The Proportions of Term or Late Preterm Births After Exposure to Early Antenatal Corticosteroids, and Outcomes:对 160 万婴儿的系统回顾和元分析
Obstetric Anesthesia Digest Pub Date : 2024-05-24 DOI: 10.1097/01.aoa.0001016056.21763.fa
K. Ninan, A. Gojic, Y. Wang, E.V. Asztalos, M. Beltempo, K.E. Murphy, S.D. McDonald
{"title":"The Proportions of Term or Late Preterm Births After Exposure to Early Antenatal Corticosteroids, and Outcomes: Systematic Review and Meta-Analysis of 1.6 Million Infants","authors":"K. Ninan, A. Gojic, Y. Wang, E.V. Asztalos, M. Beltempo, K.E. Murphy, S.D. McDonald","doi":"10.1097/01.aoa.0001016056.21763.fa","DOIUrl":"https://doi.org/10.1097/01.aoa.0001016056.21763.fa","url":null,"abstract":"(BMJ. 2023;382:e076035 | doi: 10.1136/bmj-2023-076035 l. http://dx.doi.org/10.1136/bmj-2023-076035)\u0000 Preterm birth is a major cause of morbidity and mortality in both newborns and children. Women at risk of preterm delivery often receive antenatal corticosteroids, depending on their gestational age. These steroids enhance fetal lung maturation; however, unnecessary corticosteroid exposure is a concern. Guidelines recommend tracking and minimizing such exposure to discourage overuse. Animal studies indicate potential risks to fetal brain development and long-term health. This systematic review explored the outcomes of infants exposed to early antenatal corticosteroids, emphasizing the importance of their reasonable use in mitigating risks.","PeriodicalId":19432,"journal":{"name":"Obstetric Anesthesia Digest","volume":"3 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141100604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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