Are Peripartum Stress-Dose Steroids Necessary?

Sylvester-Armstrong, Kendra R; Duff, Patrick; Genç, Mehmet

doi:10.1097/aog.0000000000003651

Cited by 4 publications

(1 citation statement)

References 18 publications

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“…In a “questioning clinical practice” opinion piece, the authors summarize the pathophysiology of adrenal insufficiency that could prompt delivery of stress-dose steroids during a physiologically stressful event, such as childbirth. 24 They also review situations in which stress-dose steroids may do more harm than good. It may be worthwhile for anesthesiologists to reconsider stress-dose steroid practices in labor and delivery and engage obstetrician team members in these considerations as necessary.…”

Section: Clinical Controversies and Dogmasmentioning

confidence: 99%

What Is New in Obstetric Anesthesia: The 2021 Gerard W. Ostheimer Lecture

Lim

2022

Anesthesia &Amp; Analgesia

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The Gerard W. Ostheimer lecture is given annually to members of the Society for Obstetric Anesthesia and Perinatology. This lecture summarizes new and emerging literature that informs the clinical practice of obstetric anesthesiologists. In this review, some of the most influential articles discussed in the 2021 virtual lecture are highlighted. Themes include maternal mortality; disparities and social determinants of health; cognitive function, mental health, and recovery; quality and safety; operations, value, and economics; clinical controversies and dogmas; epidemics and pandemics; fetal-neonatal and child health; general clinical care; basic and translational science; and the future of peripartum anesthetic care. Practice-changing evidence is presented and evaluated. A priority list for clinical updates, systems, and quality improvement initiatives is presented.

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Section: Clinical Controversies and Dogmasmentioning

confidence: 99%