• A&A practice · Sep 2021

    Administering Labor Analgesia Under General Anesthesia in an Intellectually Disabled Patient.

    • Elena Lagon, Rebecca Minehart, Vilma E Ortiz, Emily Krauch, Allison Bryant-Mantha, and Erin Tracy Bradley.
    • From the Vincent Department of Obstetrics and Gynecology.
    • A A Pract. 2021 Sep 22; 15 (9): e01512e01512.

    AbstractMaternal intellectual disability presents anesthetic challenges.1 A 19-year-old primigravida with significant intellectual disability presented with preterm premature rupture of membranes at 31 4/7 weeks of gestation and underwent induction of labor for chorioamnionitis. She was unable to tolerate bedside epidural placement. Intrapartum general anesthesia allowed for epidural catheter placement that provided adequate labor analgesia for a vaginal delivery. This report describes a unique approach to providing labor analgesia in the intellectually disabled patient.Copyright © 2021 International Anesthesia Research Society.

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