Decision Making in High Risk Obstetric Patients
Obstetricians and anesthesiologists may have to make critical decisions within seconds. Method of delivery, monitoring requirements and type of anesthesia need to be chosen, with reference to the patient’s disease and the physiologic changes of pregnancy and delivery. In a high-risk pregnancy, there are maternal or fetal factors which will adversely affect the outcome of the pregnancy. Patients may need preconceptual counseling. In some diseases (e.g. pulmonary hypertension) the only way to reduce risk may be to avoid pregnancy. Early evaluation, consultation and testing are vital to making informed decisions.
KeywordsEpidural Analgesia Pulmonary Capillary Wedge Pressure Rheumatic Fever Labor Analgesia Mitral Valve Area
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