Section One: Pregnancy, anesthesia and threats to fetal oxygenation
Chapter 1: Normal pregnancy, labor and delivery
without epidural analgesia
Chapter 2: Neuraxial anesthesia and the supine position cause non-reassuring fetal status
Chapter 3: Hyperstimulation
Chapter 4: Scheduled repeat Cesarean delivery
Section Two: Postpartum hemorrhage
Chapter 5: Uterine atony: the most common cause of postpartum hemorrhage
Chapter 6: Hypovolemic shock
Chapter 7: A traumatic cesarean delivery with consumptive coagulopathy
Chapter 8: Trial of labor after cesarean delivery (TOLAC), with uterine dehiscence and emergency cesarean delivery under general anesthesia
Section Three: More obstetric crises
Chapter 9: High spinal
Chapter 10: Prolapsed umbilical cord
Chapter 11: A patient delivers vaginally after an eclamptic seizure
Chapter 12: Cesarean delivery under general anesthesia in a septic patient
Section Four: More challenging cases
Chapter 13: Morbidly obese preeclamptic patient with difficult IV access for urgent cesarean delivery
Chapter 14: Patient with known placenta previa and accreta for elective cesarean hysterectomy
Chapter 15: A patient with severe idiopathic pulmonary hypertension delivers her fourth child
Section 5: Successful neuraxial anesthesia
Chapter 16: Fooling ourselves: intravenous fentanyl creates the illusion of a successful epidural
Chapter 17: What not to do during uterine contractions
three vignettes with one simple lesson
Chapter 18: A one-sided epidural
Chapter 19: Dosing an epidural for "back labor."
Chapter 20: Management of a patient with an unsatisfactory labor epidural, now going for cesarean delivery
Chapter 21: Rescuing a low spinal
Chapter 22: A failed epidural followed by a failed spinal (Part 1)
Chapter 23: A failed epidural followed by a failed spinal (Part 2)
Chapter 24: Labor epidural for a patient with scoliosis
Section 6: Anesthetic complications
Chapter 25: Wrong medication
Chapter 26: Headache after dural puncture with an epidural needle. -Chapter 27: Neurological deficit after neuraxial analgesia for labor and vaginal delivery
Chapter 28: Left sciatic neuropathy after cesarean delivery in an obese, diabetic patient
Chapter 29: Vasopressin, used as a vasopressor during cystoscopy, causes non-reassuring fetal status
Chapter 30: Emergency cesarean delivery after repair of an ankle fracture
Chapter 31: Another spinal mishap
Section 7: Dysfunctional labor and uterine oxygenation: a theory
Chapter 32: Cardiac output-guided resuscitation of the uterus: an obese patient has dysfunctional labor which resolves with position change. Coincidence or possible therapy?.