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Obstetric Anesthesia for Co-morbid Conditions pp 87–97Cite as

Anesthesia for the Pregnant Patient with Autoimmune Disorders

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Abstract

Autoimmune disorders are common in women at their childbearing age. This chapter discusses systemic lupus erythematosus, antiphospholipid syndrome, Sjögren’s syndrome, and rheumatoid arthritis. All of them affect pregnancy outcome, and therefore careful management should be started before conception. Anesthetic considerations are also important depending on the clinical pathology of an individual parturient. These disorders may deteriorate during pregnancy and can result in cardiac, pulmonary, and renal dysfunction. Platelet count in systemic lupus erythematosus and anticoagulation therapy in antiphospholipid syndrome should be checked. Airway assessment is crucial particularly in rheumatoid arthritis.

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Authors and Affiliations

  1. Division of Obstetric Anesthesia, Center for Perinatal Care, Child Health and Development, Kitasato University Hospital, Sagamihara, Japan

    Rie Kato & Toshiyuki Okutomi

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  1. Rie Kato
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  2. Toshiyuki Okutomi
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Correspondence to Rie Kato .

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Editors and Affiliations

  1. Department of Anesthesiology, Gazi University School of Medicine, Ankara, Turkey

    Berrin Gunaydin

  2. Department of Anaesthesiology, Aga Khan University, Karachi, Pakistan

    Samina Ismail

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Kato, R., Okutomi, T. (2018). Anesthesia for the Pregnant Patient with Autoimmune Disorders. In: Gunaydin, B., Ismail, S. (eds) Obstetric Anesthesia for Co-morbid Conditions. Springer, Cham. https://doi.org/10.1007/978-3-319-93163-0_6

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  • DOI: https://doi.org/10.1007/978-3-319-93163-0_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-93162-3

  • Online ISBN: 978-3-319-93163-0

  • eBook Packages: MedicineMedicine (R0)

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