Acta obstetricia et gynecologica Scandinavica
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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?
Maternal 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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Acta Obstet Gynecol Scand · Mar 2004
Comparative StudyDoes pain relief during delivery decrease the risk of postnatal depression?
To test the hypothesis that sufficient pain relief during delivery decreases the risk of postnatal depression. ⋯ The mode of pain relief during vaginal delivery seems to be associated with the incidence of postpartum depression, especially immediately after delivery.