International journal of obstetric anesthesia
-
Int J Obstet Anesth · Oct 2023
Effect of pre-operative patient anxiety on post-spinal shivering during elective cesarean delivery: a prospective observational study.
Shivering after spinal anesthesia is common during cesarean delivery (CD), and is thought to be primarily a thermoregulatory response. By inducing autonomic changes, pre-operative anxiety could alter the functioning of the thermoregulatory center, hence modifying the incidence and severity of obstetric post-spinal shivering. This prospective observational study was conducted to explore the relationship between pre-operative anxiety and obstetric post-spinal shivering. ⋯ High pre-operative anxiety and younger patient age were independent risk factors for post-spinal shivering during elective CD. Targeted interventions to reduce pre-operative patient anxiety might have a positive impact in decreasing the incidence of intra-operative post-spinal shivering in this patient population.
-
Int J Obstet Anesth · Oct 2023
Maternal Enhanced and Critical Care (MEaCC) in Yorkshire and the Humber: regional implementation of an enhanced maternal care pathway and data collection.
Enhanced Maternity Care (EMC) is a new standard of care for women who become unwell during or shortly after pregnancy. Yorkshire and the Humber Maternity Clinical Network established the Maternal Enhanced and Critical Care Group (MEaCC) to create regional guidance with a focus on maternity staff training, development of the MEaCC database and data collection. This article describes the introduction of the MEaCC and regional data collection.