In order to optimize anesthetic management and avoid adverse maternal and fetal outcomes, a clear understanding of the changes in cardiovascular physiology that occur during pregnancy is paramount. The effects of normal gestation on the cardiovascular system are particularly significant in a parturient with cardiac valvular pathology. We present a case of a 27-year-old G2P0 at 37 weeks with a p...

INTRODUCTION Polymyositis which is a rare disease both in general population and in pregnancy is systemic connective tissue disorder characterized by inflammation and degeneration of muscles. There is only a little information relating to the anesthetic management of a pregnant woman with polymyositis. CASE PRESENTATION In this article, we present anesthetic management of urgent cesarean deli...

In Spain, vaccination against rubella was initiated in schoolgirls in the mid-1970s. In Gipuzkoa, subsequent extensions to the vaccination schedule culminated in 1992 with the introduction of the two-dose measles, mumps and rubella vaccine in children and adolescents of both sexes. Moreover, in 1985 a programme for the identification and vaccination of non-immune parturient women was implemente...

Anesthetic management during labor and delivery of a parturient after severe burn injury presents many unique challenges. We report the case of a 25-year-old parturient with a history of 85-90% total body surface area burn in 2002, who presented for a pre-delivery anesthesia evaluation. We outline the management plan that was devised and resulted in adequate labor analgesia. There are a few cas...

Here, we report a rare case of a 23-year-old term parturient with Eisenmenger syndrome due to Taussig-Bing anomaly presenting with gestational hypertension, oligohydramnios, and intrauterine growth retardation posted for elective cesarean section. Preoperatively, echocardiography of the patient was suggestive of double-outlet right ventricle (DORV) with large sub-pulmonic ventricular septal def...

BACKGROUND Mitochondrial myopathies represent a group of disorders caused by mitochondrial defects that disrupt energy production. Most patients have issues from infancy to early childhood. Pregnancy in women with mitochondrial myopathy is uncommon and the management for these parturients is full of challenges. CASE PRESENTATION A 36-year-old woman with mitochondrial myopathy was scheduled fo...

Purpose: To present a case of respiratory arrest following the use of intrathecal sufentanil and bupivacaine for combined spinal-epidural anaesthesia in a healthy labouring parturient, Cl in ical Features: A 20-yr-old term parturient received I 0 pg sufentanil and 2,5 mg bupivacaine intrathecally as part of a combined spinal-epidural technique for labour analgesia. She had received no previous ...

INTRODUCTION Midwifery has been regulated and publicly funded in British Columbia since 1998. Midwives are currently concentrated in urban areas; access to care is limited in rural communities. Rural midwifery practice can be challenging because of low birth numbers, solo practice, lack of on-site cesareans and specialist backup, and interprofessional tensions resulting from the integration of ...

allergic reaction to local anesthetics is very rare and most of the reported cases are due to ester local anesthetics. this case presents a parturient who experienced cardiac arrest due to hypersensitivity reaction to lidocaine after epidural injection for cesrarean section.

Levels of progesterone were determined by competitive protein-binding techniques and oestrogens by radio-ligand binding techniques in the uterine and peripheral plasma of parturient ewes. Uterine progesterone levels began a continuous decline 4 to 5 days ante partum whereas jugular levels only declined 1 or 2 days ante partum. Peripheral plasma progesterone levels were significantly elevated in