Obstetric anaesthetic service

Plaat, F.; Bogod, David; Bythell, V.; Mushambi, Mary; Clyburn, Paul; Lucas, Nuala; Johnston, Ian; Gibb, S.C.; Parvez, Iftikhar; Thornberry, Anne; Oaa, President; Aagbi,; Oaa,; Aagbi, Gat representative; Aagbi, Sas representative; representative, RCoA

doi:10.21466/g.oas2.2013

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Guidelines by the Obstetric Anaesthetists’ Association and the Association of Anaesthetists highlight the importance of multidisciplinary management of complex obstetric patients [9]. This patient had twice‐daily multidisciplinary reviews by obstetric, anaesthetic and midwifery personnel, with input from cardiology whilst on the maternity high dependency unit.…”

Section: Discussionmentioning

confidence: 99%

Atrial fibrillation and non‐ischaemic cardiomyopathy in the peripartum period

Harper

Gerth

Marsh

et al. 2020

Anaesthesia Reports

View full text Add to dashboard Cite

A 31-year-old primiparous woman with a history of bigeminy as a teenager developed atrial fibrillation with rapid ventricular response during elective caesarean section. Initial postoperative medical management was undertaken on the maternal high dependency unit and involved the administration of beta-blockers and digoxin. On postoperative day 1 the patient was transferred to the coronary care unit where she subsequently required synchronised direct current cardioversion to restore sinus rhythm. The patient remained on the coronary care unit for 5 days before discharge. Magnetic resonance imaging undertaken 6 weeks postpartum showed non-ischaemic cardiomyopathy. In this report, we discuss tachycardia-induced and peripartum cardiomyopathies, along with their potential underlying pathologies, incidence and associated morbidity. We describe potential pharmacological therapies including beta-blockers and angiotensin-converting enzyme inhibitors, as well as the implications of such medications for breastfeeding mothers. Patients presenting with palpitations in the antenatal period should receive prompt investigation including electrocardiography with ambulatory monitoring considered for those with persistent symptoms. Anyone with a proven cardiac arrhythmia should undergo echocardiography. This report illustrates the importance of the investigation of the symptoms of arrhythmia during pregnancy and emphasises the role of multidisciplinary working in the management of obstetric patients with complex medical comorbidity.

show abstract

Section: Discussionmentioning

confidence: 99%

Atrial fibrillation and non‐ischaemic cardiomyopathy in the peripartum period

Harper

Gerth

Marsh

et al. 2020

Anaesthesia Reports

View full text Add to dashboard Cite

show abstract

Antenatal anaesthesia clinics – the way forward?

Plaat¹,

Harris²

2018

Isr J Health Policy Res

View full text Add to dashboard Cite

Specialist antenatal clinics are increasingly being used to enable anaesthetists to evaluate pregnant women with co-morbidities and those at high risk of obstetric complications. In this journal a team from Israel describe the process of setting up and running such a clinic over a 14 year period. One of the challenges they identify was the limited referral of high risk women. Based on UK and US literature, the use of structured referral tools, clear criteria for referral and regular antenatal multidisciplinary meetings may help to address this.

show abstract

Obstetric anaesthetic service

Cited by 2 publications

References 0 publications

Atrial fibrillation and non‐ischaemic cardiomyopathy in the peripartum period

Atrial fibrillation and non‐ischaemic cardiomyopathy in the peripartum period

Antenatal anaesthesia clinics – the way forward?

Contact Info

Product

Resources

About