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Acta Obstet Gynecol Scand · Mar 2004
ReviewLabor analgesia for the parturient with cardiac disease: what does an obstetrician need to know?
- Krzysztof M Kuczkowski.
- Department of Anesthesiology, University of California, San Diego, California, USA. kkuczkowski@ucsd.edu
- Acta Obstet Gynecol Scand. 2004 Mar 1;83(3):223-33.
AbstractMaternal heart disease complicates 0.2-3% of pregnancies. The optimal management of the pregnant patient with cardiac disease depends on the cooperative efforts of the obstetrician, the cardiologist and the anesthesiologist involved in peripartum care. A comprehensive understanding of physiology of pregnancy and pathophysiology of underlying cardiac disease is of primary importance in provision of obstetric analgesia or anesthesia for this high-risk group of patients. This article will review the current guidelines and standards pertinent to management of obstetric analgesia and anesthesia in parturients with cardiac disease.
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