Archives of Gynecology and Obstetrics

, Volume 272, Issue 2, pp 160–166

Labor analgesia for the parturient with respiratory disease: what does an obstetrician need to know?

Original Article

DOI: 10.1007/s00404-004-0703-1

Cite this article as:
Kuczkowski, K.M. Arch Gynecol Obstet (2005) 272: 160. doi:10.1007/s00404-004-0703-1
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Abstract

Background

Significant alterations occur in the pulmonary system during pregnancy, which primarily serve to meet the increased oxygen consumption by the growing fetus. When pregnancy is complicated by a respiratory tract disorder such as asthma, cystic fibrosis or tobacco-related respiratory complications the peripartum management (both obstetric and anesthetic) may become challenging.

Technique

Regional anesthesia remains the technique of choice for these parturients because airway manipulation and endotracheal intubation are avoided.

Conclusion

When providing labor analgesia to parturients with asthma, cystic fibrosis, and tobacco-related respiratory disorders every effort should be made to reduce the likelihood of high (thoracic) levels of analgesia and/or anesthesia and subsequent airway compromise.

Keywords

PregnancyAsthmaCystic fibrosisCigarette smokingObstetric anesthesiaLabor analgesia

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  1. 1.Department of AnesthesiologyUniversity of CaliforniaSan DiegoUSA
  2. 2.Department of Reproductive MedicineUniversity of CaliforniaSan DiegoUSA