THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
Journal Symposium (3)
Cooperating with Anesthesiologists in Obstetric Practice
Kan AMANO
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JOURNAL FREE ACCESS

2008 Volume 28 Issue 5 Pages 751-756

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Abstract

 One of the features of obstetric practice is the high frequency of emergent conditions. Facing with nonreassuring fetal status, especially prolonged deceleration, speedy delivery of the fetus is essential for preventing not only fetal demise but also neurologic sequela. Placenta accreta/increta, which is relatively difficult to diagnose, is a serious condition necessitating a multidisciplinary approach. In order to avoid unexpected profuse bleeding, after delivering the baby, leave the placenta alone, and hysterectomy can be performed safely with the use of transcatheter arterial embolization/balloon occlusion. In addition to feto/maternal emergencies, the anesthesiologist should be consulted in surgery during pregnancy, fetal surgery, critical care, labor analgesia, etc. Close collaboration with the anesthesiologist is indispensable for safe maternal and fetal management.

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© 2008 by The Japan Society for Clinical Anesthesia
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