产科麻醉对母婴结局影响的综述。
A Review of the Impact of Obstetric Anesthesia on Maternal and Neonatal Outcomes.
机构信息
From the Department of Anesthesiology (G.L., J.H.W.) Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Magee-Womens Research Institute and Foundation (F.L.F.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois (N.N.) Department of Anesthesia, University of Iowa Carver College of Medicine, Iowa City, Iowa (C.A.W.) Department of Anesthesiology, University of Texas Health Science Center, McGovern Medical School, Houston, Texas (H.K.E.).
出版信息
Anesthesiology. 2018 Jul;129(1):192-215. doi: 10.1097/ALN.0000000000002182.
Obstetric anesthesia has evolved over the course of its history to encompass comprehensive aspects of maternal care, ranging from cesarean delivery anesthesia and labor analgesia to maternal resuscitation and patient safety. Anesthesiologists are concerned with maternal and neonatal outcomes, and with preventing and managing complications that may present during childbirth. The current review will focus on recent advances in obstetric anesthesia, including labor anesthesia and analgesia, cesarean delivery anesthesia and analgesia, the effects of maternal anesthesia on breastfeeding and fever, and maternal safety. The impact of these advances on maternal and neonatal outcomes is discussed. Past and future progress in this field will continue to have significant implications on the health of women and children.
产科麻醉在其发展过程中涵盖了产妇护理的各个方面，从剖宫产麻醉和分娩镇痛到产妇复苏和患者安全。麻醉师关注母婴结局，预防和处理分娩过程中可能出现的并发症。本综述将重点介绍产科麻醉的最新进展，包括分娩麻醉和镇痛、剖宫产麻醉和镇痛、产妇麻醉对母乳喂养和发热的影响以及产妇安全。讨论了这些进展对母婴结局的影响。该领域过去和未来的进展将继续对妇女和儿童的健康产生重大影响。
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