Analgesia, Anaesthesia, and Pregnancy

SECTION 1 PRE-CONCEPTION & CONCEPTION Preconception anaesthesia Assisted conception Ovary hyperstimulation SECTION 2 PREGNANCY 1 Procedures in Early Pregnancy Cervical suture Ectopic pregnancy Termination of pregnancy ERPC 2 Normal Pregnancy and Delivery Vertebral and spinal anatomy Spinal epidural anaesthesia Spinal extradural opioids Intrapartum fetal monitoring External cephalic version Feeding in labour Combined spinal and epidural anaesthesia and analgesia Continuous spinal anaesthesia Cortical vein thrombosis Caudal block Physiology of pregnancy Aortocaval complications Pharmacology in pregnancy (kinetics) Placental transfer of drugs Administration of drugs by midwives Antenatal fetal monitoring Normal labour Gastric function and feeding in labour Fluids in labour Monitoring in labour (including partogram) Pain of labour Non-pharmacological analgesia Systemic analgesics Inhaled analgesics Local anaesthetics Epidural analgesia for labour Inadequate epidural analgesia Spinal anaesthesia for Caesarean section Loss of resistance technique Epidural test doses Caudal analgesia 3 Problems Not Confined to Obstetrics Psychiatric disease Sickle cell disease Spinal cord injury Spinal cord disease Guillaine-Barre syndrome Benign intracranial hypertension Incidental surgery during pregnancy Obesity Substance abuse Adverse drug reactions Psychological disorders Fever in labour Sepsis Herpes simplex HIV infection Hepatitis Musculoskeletal disorders (general) Low back pain Kyphoscoliosis Cervical spine disorders Rheumatoid arthritis