Obstetric anesthesia

Physiologic changes of pregnancy uniquely influence anesthesia for Cesarean delivery. Included is a review of current obstetrical anesthesia considerations for Cesarean delivery and recent changes improving maternal care and outcome. Increased use of neuraxial techniques instead of general anesthesia for Cesarean delivery has improved maternal safety. Recent changes in the prevention of gastric aspiration, hypotension from neuraxial techniques, venous thrombosis and a team approach have improved maternal care. Elective Cesarean deliveries and management of urgent deliveries are areas of discussion. Obstetric anesthesia advances have improved maternal outcomes. Current areas of needed obstetric anesthesia research include improved obese patient care, the impact of anticoagulation on neuraxial techniques in pregnancy, long-term neurocognitive effects of neonatal exposure to anesthesia and postoperative pain management.
The purpose of the Society to enhance the quality of anesthesia care for obstetric patients, improve patient safety by reducing the incidence and severity of anesthesia-related complications, and increase patient satisfaction.

The Obstetric Anesthesia Service trains junior residents and Fellows in the intricacies of

• Perianesthetic evaluation

• Aspiration prevention

• Anesthetic care for labor and delivery

• Removal of retained placenta

• Anesthetic choices for cesarean delivery

• Postpartum tubal ligation and anesthetic options

• Management of obstetric and anesthetic emergencies

Major Outcomes Considered

• Maternal analgesia

• Maternal, fetal and neonatal anesthetic complications

• Maternal, fetal and neonatal obstetric complications

• Maternal comfort and satisfaction

Resource:
Recognized training centre
Government : All Govt. Medical Colleges & also all Districts Hospital
Autonomous Institute :  Bangabandu Sheikh Mujib Medical University,
Non-government  : Bangladesh Institute of Research Diabetes, Endocrine
and Metabolic Disorders & other  corporate hospital.

Training program : EOC (emergency obstetric care) in all Govt. Medical college